Class 2 Device Recall MobileDaRt Evolution

• Date Initiated by Firm: November 09, 2020
• Create Date: December 04, 2020
• Recall Status: Open, Classified
• Recall Number: Z-0534-2021
• Recall Event ID: 86734
• 510(K)Number: K080701
• Product Classification: System, x-ray, mobile - Product Code IZL
• Product: Shimadzu Mobile X-Ray System, MobileDaRt Evolution (MX8 Version), with adjustable handle option, Made in Japan - Product Usage: The device is intended to be used to take a film, CR or general radiography of patients in the hospital who cannot move and/or of outpatients in emergency.
• Code Information: SMS ID / Serial Number SMS20200126 41F41E7A3011, SMS20200182 41F41E7A5006, SMS20200184 41F41E7A5008, SMS20180073 41F41DD7C006, SMS20180068 41F41DD7C003, SMS20180075 41F41DD7C007, SMS20180349 41F41DD85007, SMS20180350 41F41DD85009, SMS20180351 41F41DD86007, SMS20180448 41F41DD88001, SMS20190308 41F41E798002, SMS20190335 41F41E799002, SMS20190383 41F41E79A010, SMS20200033 41F41E79B001, SMS20200034 41F41E79B005, SMS20200219 41F41E7A6012, SMS20200301 41F41E7A6051, SMS20200339 41F41E7A7006, SMS20190016 41F41DD88010, SMS20190138 41F41DD8B007, SMS20190268 41F41E797001, SMS20190307 41F41E798003, SMS20200211 41F41E7A6005, SMS20200232 41F41E7A6020, SMS20200236 41F41E7A6024, SMS20200244 41F41E7A6025, SMS20200245 41F41E7A6026, SMS20180141 41F41DD83007, SMS20190008 41F41DD88007, SMS20190009 41F41DD88008, SMS20200325 41F41E7A6055, SMS20180076 41F41DD81002, SMS20190212 41F41DD8C012, SMS20200059 41F41E7A1007, SMS20200212 41F41E7A6010, SMS20200279 41F41E7A6041, SMS20200324 41F41E7A7002, SMS20200332 41F41E7A7005, SMS20200332 41F41E7A7005, SMS20190129 41F41DD8A018, SMS20190213 41F41DD8C013, SMS20200095 41F41E7A2004, SMS20200087 41F41E7A2006, SMS20200088 41F41E7A2007, SMS20200116 41F41E7A3002, SMS20200117 41F41E7A3003, SMS20180205 41F41DD83023, SMS20180230 41F41DD84006, SMS20190171 41F41DD8C002, SMS20190045 41F41DD89003, SMS20180374 41F41DD87004, SMS20200159 41F41DD87004, SMS20190189 41F41DD8C008, SMS20180117 41F41DD82008, SMS20180096 41F41DD82009, SMS20180097 41F41DD82010, SMS20180185 41F41DD83019, SMS20200129 41F41E7A4002, SMS20200130 41F41E7A4003, SMS20200131 41F41E7A4004, SMS20200132 41F41E7A4005, SMS20200206 41F41E7A6004, SMS20180242 41F41DD84019, SMS20190076 41F41DD89010, SMS20190113 41F41DD8A009, SMS20190092 41F41DD89013, SMS20200208 41F41E7A6002, SMS20180066 41F41DD7C004, SMS20180067 41F41DD7C005, SMS20190367 41F41E799010, SMS20190075 41F41DD89009, SMS20200096 41F41E7A2005, SMS20200280 41F41E7A6042, SMS20200348 41F41E7A7004, SMS20180115 41E09E963008, SMS20180082 41F41DD81005, SMS20180245 41F41DD85003, SMS20190160 41F41DD8B014, SMS20200165 41F41E7A4016, SMS20200271 41F41E7A6035, SMS20180065 41F41DD7C002, SMS20180104 41F41DD82011, SMS20200021 41F41E79B003, SMS20200040 41F41E7A1006, SMS20200042 41F41E7A1001, SMS20200148 41F41DD81010,, SMS20180129 41F41DD83001, SMS20180130 41F41DD83002, SMS20180131 41F41DD83003, SMS20180132 41F41DD83004, SMS20180133 41F41DD83005, SMS20180158 41F41DD83008, SMS20180159 41F41DD83009, SMS20180177 41F41DD83015, SMS20180178 41F41DD83016, SMS20190344 41F41DD7C003, SMS20180261 41F41DD85005, SMS20180262 41F41DD85006, SMS20200043 41F41E7A1002, SMS20200044 41F41E7A1003, SMS20200067 41F41E7A1004, SMS20200055 41F41E7A1009, SMS20200062 41F41E7A1010, SMS20180206 41F41DD83026, SMS20180237 41F41DD84013, SMS20180238 41F41DD84014, SMS20190003 41F41DD88004, SMS20200240 41F41E7A6029, SMS20200241 41F41E7A6030, SMS20200078 41F41E7A6032, SMS20180077 41F41DD81001, SMS20180078 41F41DD81003, SMS20200022 41F41E79B004, SMS20200227 41F41E7A6016
• Recalling Firm/ Manufacturer: Shimadzu Medical Systems; 20101 S Vermont Ave; Torrance CA 90502-1328
• For Additional Information Contact: Shimadzu Medical Systems National Technical Support; 844-487-2767
• Manufacturer Reason for Recall: There is a potential that the adjustable handle option on the X-Ray system may have been installed with improper bolts. This could result in improper driving operation which could lead to harm of individuals around the device.
• FDA Determined Cause: Device Design
• Action: Shimadzu issued a "Urgent: Voluntary Medical Device Recall Notice" on 11/09/2020" via email. In addition to informing consignees about the recalled device, the notification letter asked consignees to take the following actions: 1. If your unit is on the affected list, then please check the drive handle assembly to see if the bolts have loosened. If you feel there is a problem with the mobile drive and movement, please discontinue use of the system and contact your local service provider. 2. Shimadzu has identified the affected units and informed your authorized service representative. They will be contacting you to schedule time to implement the corrective action. If you do not receive a call or visit concerning this matter, please contact Shimadzu National Support. 3. Please complete the "Medical Device Recall Return Response" form and email to drodriguez@shimadzu-usa.com 4. Adverse reactions or quality problems experienced with the use of this product may be reported to the FDAs MedWatch Adverse Event Reporting program either online, by regular mail or by fax.
• Quantity in Commerce: 115 units
• Distribution: US Nationwide distribution including in the states of AL, AZ, CA, FL, GA, IA, IL, IN, KY, LA, MI, MN, MS, NC, ND, NE, NJ, NY, OH, OR, PA, SC, TN, TX, WA, WI.
• Total Product Life Cycle: TPLC Device Report

¹ A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
² Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
³ The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.

• 510(K) Database: 510(K)s with Product Code = IZL and Original Applicant = SHIMADZU CORP.