FDA Adverse Event Malfunction Summary report: N

ALLURA XPER FD20/10 & ALLURA XPER FD20/20

MDR report key: 22168029 · Received June 9, 2025

Report

Report Number
3003768277-2025-005194
Event Type
Malfunction
Date Received
June 9, 2025
Date of Event
June 2, 2025
Report Date
July 31, 2025
Manufacturer
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
Product Code
OWB
PMA / PMN Number
K033737
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

PHILIPS HAS INVESTIGATED THIS COMPLAINT. ACCORDING TO THE ADDITIONAL INFORMATION COLLECTED, THE ISSUE OCCURRED DURING A CORONARY PROCEDURE AND THE PROCEDURE WAS COMPLETED USING A MOBILE C-ARM. THE PHILIPS FIELD SERVICE ENGINEER (FSE) INSPECTED THE SYSTEM ONSITE AND CONFIRMED THAT THE SYSTEM WAS UNABLE TO PRODUCE X-RAYS. UPON ANALYSIS, THE FSE REVIEWED THE LOGFILE WHICH INDICATED AN ISSUE WITH THE FLAT DETECTOR CONTROL (FDC) BOARD ON THE FRONTAL STAND. THE FSE SWAPPED THE LATERAL AND FRONTAL FDC BOARDS AS A TEMPORARY SOLUTION BUT AFTER THAT THE LATERAL FDC BOARDS SHOWED INTERMITTENT ISSUES. THE FSE CONFIRMED THAT THE FDC BOARD WAS DEFECTIVE AND NEEDED A REPLACEMENT. TO RESOLVE THE REPORTED ISSUE, THE FSE REPLACED THE FDC BOARD. AFTER REPLACEMENT, THE SYSTEM WAS RETURNED TO USE IN GOOD WORKING ORDER. THE CODES WERE UPDATED BASED ON THE INVESTIGATION OUTCOME. HEALTH IMPACT CODE WAS CORRECTED.

Description of Event or Problem · 0

IT WAS REPORTED TO PHILIPS THAT THE SYSTEM WAS UNABLE TO PRODUCE X-RAYS. THE SYSTEM WAS IN CLINICAL USE AT THE TIME OF THE EVENT. NO HARM TO THE PATIENT OR USER WAS REPORTED. PHILIPS HAS STARTED AN INVESTIGATION OF THIS COMPLAINT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1477980 ALLURA XPER FD20/10 & ALLURA XPER FD20/20 INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM OWB PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ALLURA XPER FD20/10 & FD20/20

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown