FDA Adverse Event Malfunction Summary report: N

AZURION

MDR report key: 22103381 · Received May 29, 2025

Report

Report Number
3003768277-2025-004861
Event Type
Malfunction
Date Received
May 29, 2025
Date of Event
May 22, 2025
Report Date
July 16, 2025
Manufacturer
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
Product Code
OWB
UDI-DI
00884838099265
PMA / PMN Number
K200917
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SN
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PHILIPS HAS INVESTIGATED THIS COMPLAINT. ACCORDING TO THE ADDITIONAL INFORMATION COLLECTED THE PROCEDURE WAS COMPLETED BY USING ANOTHER SYSTEM. THE PHILIPS FIELD SERVICE ENGINEER (FSE) WENT ONSITE AND IDENTIFIED THAT ISSUES ASSOCIATED WITH SUITE PC. THE REVIEW OF SYSTEM LOG FILE INDICATED ISSUE RELATED TO SOFTWARE. TO RESOLVE THIS ISSUE, THE FSE REPLACED THE SUITE PC AND SDD(HARD DISK DRIVE) AND RETURNED TO PHILIPS FOR FURTHER ANALYSIS. THE ANALYSIS IDENTIFIED THE SDD COMPONENT WAS MISSING IN THE SUITE PC. AFTER REPLACEMENT, THE SYSTEM WAS RETURNED TO USE IN GOOD WORKING ORDER. THE CODES WERE UPDATED BASED ON THE INVESTIGATION'S OUTCOME.

Description of Event or Problem · 0

IT WAS REPORTED TO PHILIPS THAT THE SYSTEM WAS HANGED DURING MID OF THE PROCEDURE.THE DEVICE WAS IN 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
994085 AZURION INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM OWB PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. AZURION 7 B12 00884838099265

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown