| | Class 2 Device Recall 3mensio Workstation |  |
| Date Initiated by Firm | July 14, 2025 |
| Date Posted | August 12, 2025 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-2297-2025 |
| Recall Event ID |
97307 |
| 510(K)Number | K153736 |
| Product Classification |
System, image processing, radiological - Product Code LLZ
|
| Product | 3mensio Workstation (Vascular Fenestrated) software |
| Code Information |
Software Version/UDI/Software Release Date: 10.6/(01)08056304455505(11)240325(8012)10.6/05-Apr-24, 10.7/(01)08056304455925(11)250423(8012)10.7/29-Apr-25,
Service Packs/UDI: 10.6 SP1/(01)08056304455505(11)240411(8012)10.6 SP1/23-Apr-24,
10.6 SP2/(01)08056304455505(11)240610(8012)10.6 SP2/17-Jun-24,
10.6 SP3/(01)08056304455505(11)240926(8012)10.6 SP3/03-Oct-24,
10.6 SP4/(01)08056304455505(11)250109(8012)10.6 SP4/20-Jan-25,
10.7 SP1/(01)08056304455925(11)250523(8012)10.7 SP1/28-May-25 |
| FEI Number |
3003595527
|
Recalling Firm/ Manufacturer |
PIE Medical Imaging B.V. Demertdwarsstraat 8A01 Maastricht Netherlands
|
| For Additional Information Contact | 31 433281328 |
Manufacturer Reason for Recall | When fenestrated analysis with clock measurements is started in diagnostic bioimaging software (intended to measure/visualize cardiovascular structures) and the 12h position of a single clock is changed, other clock measurements are not updated relative to the new 12h position which may cause stent graft fenestrations at incorrect position, which may lead to blood flow disruption and tissue damage |
FDA Determined Cause 2 | Software change control |
| Action | On 7/14/2025, correction notices were mailed and emailed to customers who were asked to do the following:
When using software version 10.6, in case you open a session state with saved clock measurements and there is a need to adjust the 12h position for the clock positions, make sure to update all individual clock measurements in the perpendicular plane by the following steps:
1. Click on the clock position.
2. Update the 12h pointer of the clock in the perpendicular viewport.
3. Perform step 1 and 2 for all clock measurements in the analysis.
After updating all 12h pointers, the information shown in the fenestration diagram is correct and functionality is restored.
- Pass and post this notice for all who need to be aware within your organization or to any organization where the potentially affected product is in use.
- Complete and return the Customer Acknowledgement Form via email to vigilance@pie.nl
Questions can be sent to the above email.
Firm will reach out to all customers to provide a link for the software installation.
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| Quantity in Commerce | 501 |
| Distribution | US Nationwide distribution in the states of MN, NJ, GA, NY, OH, KS, MA, CA, TX, MS, NE, NC. |
| Total Product Life Cycle | TPLC Device Report |
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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 = LLZ
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