FDA Adverse Event
Malfunction
Summary report: N
AZURION
MDR report key: 22952741
·
Received September 3, 2025
Report
- Report Number
- 3003768277-2025-008893
- Event Type
- Malfunction
- Date Received
- September 3, 2025
- Date of Event
- March 30, 2022
- Report Date
- September 3, 2025
- Manufacturer
- PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
- Product Code
- OWB
- UDI-DI
- 00884838085268
- PMA / PMN Number
- K181830
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
PHILIPS SERVICE REPLACED THE NIU BOARD AND RETURNED THE DEVICE TO USE. THIS REPORT WAS SUBMITTED IN AGREEMENT WITH FDA FOR THE RETROSPECTIVE REPORTING COMMITMENT (REFERENCE: (B)(4)).
Description of Event or Problem · 0
IT WAS REPORTED TO PHILIPS THAT AN NIU BOARD FAILURE CAUSED A GEOMETRY POSITIONING ISSUE ON AN AZURION 7 M20. THE CLINICAL USE OF THE SYSTEM WAS UNKNOWN. THERE WAS NO REPORTED PATIENT OR USER HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1336081 | AZURION | INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM | OWB | PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. | AZURION 7 M20 | 00884838085268 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |