FDA Adverse Event Malfunction Summary report: N

ALLURA XPER FD

MDR report key: 17697088 · Received September 7, 2023

Report

Report Number
3003768277-2023-04844
Event Type
Malfunction
Date Received
September 7, 2023
Date of Event
August 8, 2023
Manufacturer
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
Product Code
OWB
UDI-DI
00884838059054
PMA / PMN Number
K130638
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

PHILIPS HAS INVESTIGATED THIS COMPLAINT. THE PHILIPS FIELD SERVICE ENGINEER (FSE) INSPECTED THE SYSTEM ONSITE AND CONFIRMED THAT SYSTEM WAS NOT BOOTING UP. REVIEW OF THE LOG FILES CONFIRMED THE ISSUE WITH THE FLEXVISION PC. THE FSE PERFORMED SYSTEM TROUBLESHOOTING AND IDENTIFIED THAT THE FLEXVISION PC WAS NOT WORKING. THE FSE REPLACED THE FLEXVISION PC TO RESOLVE THE ISSUE. LATER, THE RGB MEDIAWALL IN THE TSM (TOUCH SCREEN MODULE) WAS FOUND DEFECTIVE. SO, THE FSE REPLACED THE RGB MEDIAWALL TO FIX THE DISPLAY BUTTON ISSUE IN THE TSM MODULE. AFTER THE REPLACEMENT, THE SYSTEM WAS RETURNED TO USE IN GOOD WORKING ORDER. THE CODES WERE UPDATED BASED ON THE INVESTIGATION OUTCOME.

Description of Event or Problem · 0

IT HAS BEEN REPORTED TO PHILIPS THAT THE ALLURA SYSTEM DID NOT BOOT UP SUCCESSFULLY AS THE START-UP COUNTDOWN GOT STUCK AT 00:00. THE SYSTEM WAS NOT IN CLINICAL USE. THERE WAS NO REPORTED PATIENT OR USER HARM. A PHILIPS FIELD SERVICE ENGINEER (FSE) INSPECTED THE SYSTEM ONSITE AND REPLACED THE FLEXVISION PC AND THE RGB MEDIAWALL 2900 WHICH RETURNED THE DEVICE TO USE IN GOOD WORKING ORDER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1038491 ALLURA XPER FD INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM OWB PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ALLURA XPER FD20 00884838059054

Patients

Seq Age Sex Outcome Treatment
1 Unknown