FDA Adverse Event Malfunction Summary report: N

AZURION

MDR report key: 20439052 · Received October 14, 2024

Report

Report Number
3003768277-2024-05803
Event Type
Malfunction
Date Received
October 14, 2024
Date of Event
September 19, 2024
Report Date
January 30, 2025
Manufacturer
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
Product Code
OWB
UDI-DI
00884838085251
PMA / PMN Number
K172822
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

IT WAS IDENTIFIED THAT THIS IS A DUPLICATE COMPLAINT FROM AN ALREADY REPORTED COMPLAINT. THE INVESTIGATION WILL BE ADDRESSED IN MFR REPORT NUMBER 3003768277-2024-05798. THIS COMPLAINT WILL BE CLOSED AS DUPLICATE.

Description of Event or Problem · 0

IT WAS REPORTED TO PHILIPS THAT THE SYSTEM WAS UNABLE TO BOOT UP. THE DEVICE WAS IN CLINICAL USE AT THE TIME OF THE REPORTED EVENT. NO HARM WAS REPORTED TO PHILIPS. PHILIPS HAS STARTED AN INVESTIGATION OF THIS COMPLAINT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2230058 AZURION INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM OWB PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. AZURION 7 M12 00884838085251

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown