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U.S. Department of Health and Human Services

Class 2 Device Recall Precedence

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  Class 2 Device Recall Precedence see related information
Date Initiated by Firm December 28, 2010
Date Posted March 04, 2011
Recall Status1 Terminated 3 on April 02, 2012
Recall Number Z-1549-2011
Recall Event ID 57589
510(K)Number K041218  
Product Classification Computed Tomography X-Ray System - Product Code JAK
Product Precedence Imaging System; 16 Slice 5/8, 16 slice 3/8;
Philips Medical Systems

An imaging system combining the acquisition of single photon nuclear medicine images and images from an x-ray computed tomography system.
Code Information Catalog number 882350; Model numbers (5/8): 4535-602-50861, 2169-3001A; Serial numbers:  KP05100002 KP05110003 3000006 3000003. Model numbers (3/8): 2169-3000A, 4535-602-50851. Serial numbers: 3000034 3000040 3000044 3000046 3000047 3000049 3000059 3000061 3000063 3000071 3000072 3000074 3000078 30006120020 30007060027 30007060029 KP05040006 KP05080007 KP0510008 KP06040012 KP06060014 KP06100016 3000032 3000054 3000085.    
Recalling Firm/
Manufacturer		 Philips Medical Systems
3860 N 1st St
San Jose CA 95134-1702
For Additional Information Contact Elizabeth McLain
608-288-6948
Manufacturer Reason
for Recall		 Philips Healthcare Nuclear Medicine determined that the detector arm assembly could be compromised.
FDA Determined
Cause 2		 Other
Action Urgent - Medical Device Correction notifications were sent to all domestic consignees on December 28, 2010 via Federal Express. The letter identified the affected products, the reason for the recall, the hazard involved, and actions to be taken by the customer/user. Customers have been instructed to immediately stop using the system and contact a Philips service representative for an immediate inspection if one of the listed reasons apply. Customers were also instructed to follow the instructions in the system's Instructions For Use to avoid a collision or force on the detector. The firm's service will contact customers to arrange a time for Philips to conduct an inspection and to conduct the appropriate field safety correction. The letter should be placed in customers' Instructions For use. Notices to international consignees will be sent as soon as translation is complete. If customers need further information or support concerning this issue, they should contact their local Philips representative.
Quantity in Commerce 540 units, all varieties
Distribution Worldwide Distribution
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 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = JAK and Original Applicant = ADAC LABORATORIES
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