FDA Adverse Event
Malfunction
Summary report: N
ALLURA XPER FD
MDR report key: 22858581
·
Received August 21, 2025
Report
- Report Number
- 3003768277-2025-007716
- Event Type
- Malfunction
- Date Received
- August 21, 2025
- Date of Event
- August 23, 2021
- Report Date
- August 21, 2025
- Manufacturer
- PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
- Product Code
- OWB
- UDI-DI
- 00884838054189
- PMA / PMN Number
- K162859
- Removal / Correction Number
- C&R#: 3003768277-12/28/
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
THIS REPORT WAS SUBMITTED IN AGREEMENT WITH FDA FOR THE RETROSPECTIVE REPORTING COMMITMENT (REFERENCE: (B)(4)) AND IS RELATED TO AND OCCURRED PRIOR TO C&R#: 3003768277-12/28/2023-012-C.
Description of Event or Problem · 0
IT WAS REPORTED TO PHILIPS THAT COMPUTER FAILURE. THIS IS CONNECTED TO STARTUP ISSUES RELATED TO A ALLURA XPER FD10. THERE WAS NO REPORTED PATIENT OR USER HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 386428 | ALLURA XPER FD | INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM | OWB | PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. | ALLURA XPER FD10 | 00884838054189 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |