FDA Adverse Event Malfunction Summary report: N

AZURION

MDR report key: 20354928 · Received October 2, 2024

Report

Report Number
3003768277-2024-05598
Event Type
Malfunction
Date Received
October 2, 2024
Date of Event
September 21, 2024
Report Date
February 13, 2025
Manufacturer
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
Product Code
OWB
UDI-DI
00884838085367
PMA / PMN Number
K172822
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PHILIPS HAS INVESTIGATED THIS COMPLAINT. ACCORDING TO O HE ADDITIONAL INFORMATION COLLECTED, PLANNED PERIPHERAL SURGERY TREATMENT WAS PERFORMED BY THE CUSTOMER AND THE PROCEDURE WAS COMPLETED BY USING FLUOROSCOPY WITH LOWER DOSE. PHILIPS FIELD SERVICE ENGINEER (FSE) INSPECTED THIS SYSTEM ONSITE AND FOUND THAT THE SYSTEM COULDN¿T EMIT RADIATION. FSE REVIEWED THE LOG FILE. UPON TROUBLESHOOTING, FSE FOUND THAT THERE WAS FAILURE IN EQUIPMENT TUBE AND THE CURRENT WAS OUT OF RANGE. TO RESOLVE HIS ISSUE, FSE REPLACED X-RAY TUBE AND PERFORMED REQUIRED CALIBRATION. THE DEFECTIVE PART WAS RETURNED TO PHILIPS FOR ANALYSIS AND FOUND THAT X-RAY TUBE FAILED AS THERE WAS VACCUME LEAKAGE. AFTER REPLACEMENT, THE SYSTEM WAS RETURNED TO USE IN GOOD WORKING ORDER. THE CODES WERE UPDATED BASED ON INVESTIGATION OUTCOME.

Description of Event or Problem · 0

IT HAS BEEN REPORTED TO PHILIPS THAT THE SYSTEM PRODUCED ERROR MESSAGES AND DID NOT EMIT X-RAYS. THE SYSTEM WAS IN CLINICAL USE AT THE TIME OF THE REPORTED EVENT. THERE WAS NO REPORTED PATIENT OR USER HARM. PHILIPS HAS STARTED AN INVESTIGATION OF THIS COMPLAINT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
53207 AZURION INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM OWB PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. AZURION 7 B20 00884838085367

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown