FDA Adverse Event Malfunction Summary report: N

ALLURA XPER FD

MDR report key: 21504591 · Received March 3, 2025

Report

Report Number
3003768277-2025-002168
Event Type
Malfunction
Date Received
March 3, 2025
Date of Event
February 14, 2025
Report Date
March 14, 2025
Manufacturer
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
Product Code
OWB
UDI-DI
00884838054202
PMA / PMN Number
K162859
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

PHILIPS HAS INVESTIGATED THIS COMPLAINT. ADDITIONAL INFORMATION RECEIVED CONFIRMED THAT, ALTHOUGH THE ISSUE OCCURRED WHILE THE SYSTEM WAS IN CLINICAL USE, THE PROCEDURE WAS NOT IMPACTED AND WAS COMPLETED AS PLANNED. NO HARM OR INJURY WAS REPORTED TO PHILIPS. A PHILIPS REMOTE SERVICE ENGINEER (RSE) CONNECTED WITH THE CUSTOMER AND PERFORMED REMOTE TROUBLESHOOTING ON THE SYSTEM. TROUBLESHOOTING CONFIRMED THE ERROR MESSAGE "IXR-PRO-FILAMENT-CURRENT-OUT-OF-RANGE (1.0)". PHILIPS PROVIDED A QUOTE TO THE CUSTOMER FOR ONSITE SERVICE AND X-RAY TUBE REPLACEMENT, BUT THE CUSTOMER DID NOT APPROVE THE QUOTE; NO DEVICE REPAIR OR REPLACEMENT WAS PERFORMED BY PHILIPS. NO FURTHER INFORMATION COULD BE OBTAINED FROM THE CUSTOMER. THE CODES WERE UPDATED BASED ON THE INVESTIGATION OUTCOME.

Description of Event or Problem · 0

IT WAS REPORTED TO PHILIPS THAT THE SYSTEM GAVE AN ALERT INDICATING X-RAYS WERE NOT POSSIBLE. THE DEVICE WAS IN CLINICAL USE AT THE TIME OF 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
1330719 ALLURA XPER FD INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM OWB PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ALLURA XPER FD20 00884838054202

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown