| Date Initiated by Firm | August 22, 2024 |
| Date Posted | September 18, 2024 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-3167-2024 |
| Recall Event ID |
95256 |
| 510(K)Number | K002016 |
| Product Classification |
Interventional fluoroscopic x-ray system - Product Code OWB
|
| Product | System Name: 722044 INTEGRIS Allura 15-12 (biplane) 722030 Integris CV Cesar-Powerpack-Visub-Nicol 722021 INTEGRIS Allura 9 (biplane) 722018 Integris Allura 9 722017 Integris H5000 F / Allura 9F 722016 Integris H5000 C / Allura 9C |
| Code Information |
Model Product UDI-DI: N/A
722044 INTEGRIS Allura 15-12 (biplane)
722030 Integris CV Cesar-Powerpack-Visub-Nicol
722021 INTEGRIS Allura 9 (biplane)
722018 Integris Allura 9
722017 Integris H5000 F / Allura 9F
722016 Integris H5000 C / Allura 9C
All serial numbers
|
Recalling Firm/ Manufacturer |
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. Veenpluis 4-6 Best Netherlands
|
Manufacturer Reason for Recall | Potential Detachment of the Cable Hose Carrier (due to broken plastic and/or bolts) which May Result in Parts Falling and/or Part of the Cable Hose Dropping, and result in injury. |
FDA Determined Cause 2 | Device Design |
| Action | Philips Issued URGENT Medical Device Correction Letter (Philips Reference # 2023-IGT-BST-006) on 8/22/24. Letter states reason for recall, health risk and action to take:
a. Affected systems may continue to be used in accordance with their Instructions for Use (IFU) and the instructions below.
b. Avoid that operators or bystanders stand underneath the Cable Hose Carriers, especially when moving or turning the system monitor.
c. Avoid having the patient located underneath the Cable Hose Carriers (e.g., during transport).
d. If you notice loose or broken bolts and/or broken plastic parts of the Cable Hose Carriers (see
Figure 2), please contact your local Philips representative immediately.
e. As part of the preventive maintenance cycle, Philips will check the Monitor Ceiling Suspension,
including the Cable Hose Carriers, as indicated in the Preventive Maintenance Manual Update
attached in Appendix B.
o Keep a copy of this Preventative Maintenance Manual Update with your current manual.
o If you do not use Philips to perform the preventative maintenance on your system,
provide a copy of the Preventive Maintenance Manual Update to your qualified and
authorized service provider.
f. Circulate this Urgent Medical Device Correction letter to all users of the system so that they
are aware of the issue and follow the instructions above. Keep this Medical Device Correction
letter with the documentation of the system until Philips corrects your system.
g. Complete and return the attached response form (page 4) to Philips promptly and no later than 30 days from receipt. Completing this form confirms receipt of the Urgent Medical Device Correction letter and understanding of the issue and required actions to be taken.
Philips is redesigning the Cable Hose Carriers. Once the redesigned cable hose carriers are available,
Philips will contact you to schedule a visit to install them in the affected system(s) (reference FCO72200536, FCO72200576, and FCO72200577). As of the date of t |
| Quantity in Commerce | 250 units |
| Distribution | Nationwide, Canada and Worldwide:
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahrain
Bangladesh
Belarus
Belgium
Bolivia
Bosnia and Herzegovina
Brazil
Brunei Darussalam
Bulgaria
Cambodia
Cayman Islands
Chile
China
Colombia
Costa Rica
C¿te D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
Estonia
Ethiopia
Fiji
Finland
France
French Polynesia
Georgia
Germany
Ghana
Gibraltar
Greece
Guadeloupe
Guinea
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea, Republic of
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Libya
Lithuania
Macao
Macedonia
Malaysia
Maldives
Malta
Martinique
Mauritania
Mauritius
Mexico
Mongolia
Morocco
Myanmar
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Norway
Oman
Pakistan
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
R¿union
Romania
Russian Federation
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
South Africa
Spain
Sri Lanka
Sudan
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tanzania
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Venezuela
Viet Nam
Virgin Islands (U.S.)
Yemen
|
| 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.
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| 510(K) Database | 510(K)s with Product Code = OWB
|