FDA Adverse Event Malfunction Summary report: N

AZURION

MDR report key: 19415692 · Received May 29, 2024

Report

Report Number
3003768277-2024-03041
Event Type
Malfunction
Date Received
May 29, 2024
Date of Event
May 23, 2024
Report Date
January 14, 2025
Manufacturer
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
Product Code
OWB
PMA / PMN Number
K200917
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

PHILIPS HAS INVESTIGATED THIS COMPLAINT. A PHILIPS REMOTE SERVICE ENGINEER (RSE) INSPECTED THE SYSTEM REMOTELY AND IDENTIFIED THE POWER DISTRIBUTION UNIT LIGHT EMITTING DIODE (LED) WAS INACTIVE. A PHILIPS FIELD SERVICE ENGINEER (FSE) EXAMINED THE SYSTEM ON-SITE AND FOUND THE PDU FAN TRAY AND DIRECT CURRENT POWER SUPPLY (DCPS) WAS DEFECTIVE. TO RESOLVE THE ISSUE, THE FSE REPLACED THE PDU FAN TRAY, PDU FUSES OUTPUT AND PDU FUSES GENERATOR. AFTER THE REPLACEMENTS, THE SYSTEM WAS RETURNED TO USE IN GOOD WORKING ORDER. THE PDU FAN TRAY AND DCPS WAS RETURNED TO PHILIPS FOR FURTHER ANALYSIS. IT WAS IDENTIFIED THAT POWER SUPPLY UNIT (PSU) WAS DEFECTIVE. THE CODES WERE UPDATED BASED ON THE INVESTIGATION OUTCOME.

Description of Event or Problem · 0

IT HAS BEEN REPORTED TO PHILIPS THAT THE SYSTEM WOULD NOT BOOT. THE SYSTEM WAS NOT IN CLINICAL USE. THERE WAS NO REPORTED PATIENT OR USER HARM. A PHILIPS FIELD SERVICE ENGINEER (FSE) REPLACED THE POWER DISTRIBUTION UNIT FAN TRAY (PDU FAN TRAY) ALONG WITH THE DC POWER SUPPLY AND RETURNED THE SYSTEM TO USE IN GOOD WORKING ORDER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1939333 AZURION INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM OWB PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. AZURION 7 M20

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown