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Siemens healthineers was notified of a malfunction involving a luminos agile max system.According to the siemens service engineer, the system's emergency stop button was found to be broken and nonfunctional.No patient injury, user injury, or adverse event was reported in connection with this malfunction.Although no injury occurred in this event, the inability to actuate the emergency stop button could, in a worst-case scenario, delay or prevent the interruption of system motion during an emergency.If no alternative emergency stop buttons were activated, a serious injury to a patient or operator could potentially occur.
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H3, h6:
initial actions (corrective and/or preventive):
no immediate action is necessary for the affected site.The emergency stop button was replaced and tested for functionality.Based on the information available, no general issue affecting the installed base has been identified that would require immediate corrective or preventive action.Manufacturer's preliminary results and conclusion:
siemens healthineers initiated an investigation into the reported malfunction.At the time of this report, the root cause of the defective emergency stop button has not been determined.The investigation remains ongoing.A supplemental report will be submitted to the fda upon completion of the investigation and when additional information becomes available.
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