FDA Adverse Event Malfunction Summary report: N

AZURION

MDR report key: 23064549 · Received September 16, 2025

Report

Report Number
3003768277-2025-010343
Event Type
Malfunction
Date Received
September 16, 2025
Date of Event
August 22, 2025
Report Date
December 12, 2025
Manufacturer
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
Product Code
OWB
UDI-DI
00884838099272
PMA / PMN Number
K200917
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

PHILIPS HAS INVESTIGATED THIS COMPLAINT. ACCORDING TO ADDITIONAL INFORMATION COLLECTED, THE SYSTEM WAS NOT IN CLINICAL USE WHEN THE ISSUE WAS IDENTIFIED. IT WAS REPORTED TO PHILIPS THAT THE WIRELESS FOOTSWITCH WAS UNABLE TO CHARGE, WHICH COULD IMPACT IMAGING. UPON TROUBLESHOOTING, THE PHILIPS REMOTE SERVICE ENGINEER (RSE) CHECKED THE SYSTEM REMOTELY WITH THE CUSTOMER AND CUSTOMER STATED THAT THE WIRELESS FOOT PEDAL WOULD NOT CHARGE, IT TURNS ON WHEN PLUGGED IN BUT DOES NOT STAY ON. THE PHILIPS FIELD SERVICE ENGINEER (FSE) CHECKED THE SYSTEM ONSITE AND FOUND WIRELESS CONNECTION ISSUE CAUSED BY A WFS BATTERY PROBLEM. TO RESOLVE THE ISSUE, THE REPLACED THE WIRELESS FOOTSWITCH AND CONFIGURED IT WITH BLUETOOTH. THE DEFECTIVE PART WAS SENT FOR ANALYSIS, FOR WIRELESS FOOTSWITCH MALFUNCTION WAS OBSERVED AND THE FAILURE WAS FOUND TO BE LOOSE BRACKET, GREEN LED WAS NON-FUNCTIONAL SHOWING UNIT DID NOT SHOWING CHARGING STATUS. AFTER REPLACEMENT, THE SYSTEM RETURNED TO USE IN GOOD WORKING ORDER. AT THE TIME THIS COMPLAINT WAS RECEIVED, PHILIPS DID NOT HAVE ENOUGH INFORMATION TO EXCLUDE THE POTENTIAL FOR DEATH OR SERIOUS INJURY ON RECURRENCE, AND AS SUCH THE COMPLAINT WAS REPORTED. SINCE THAT TIME, IT WAS IDENTIFIED THAT THE ISSUE OCCURRED WITHOUT PATIENT INVOLVEMENT AND WAS IDENTIFIABLE PRIOR TO PROCEDURE COMMENCEMENT, WHICH HAS LED TO THE DETERMINATION THAT THIS IS SCENARIO IS NOT LIKELY TO CAUSE OR CONTRIBUTE TO DEATH OR SERIOUS INJURY IF IT WERE TO RECUR. AS PER THE INSTRUCTIONS FOR USE, THE USER OF THE PRODUCT MUST INSTITUTE A USER ROUTINE CHECKS PROGRAM. THE USER OF THE PRODUCT SHALL MAKE SURE THAT ALL CHECKS AND ACTIONS HAVE BEEN SATISFACTORILY COMPLETED BEFORE USING THE PRODUCT FOR ITS INTENDED PURPOSE. IT IS INSTRUCTED TO NOT USE THE PRODUCT FOR ANY APPLICATION UNTIL THE USER IS SURE THAT THE USER ROUTINE CHECKS HAVE BEEN SATISFACTORILY COMPLETED, THEREFORE, AS THE DEVICE WAS OUTSIDE OF USE AT THE TIME THE ISSUE WAS IDENTIFIED, THE USER WOULD IDENTIFY THIS ISSUE PRIOR TO USE, AND THE ISSUE HAPPENED DUE TO IMPROPER MAINTENANCE. BASED ON RE-EVALUATION, THIS CASE IS NOT REPORTABLE. THE CODES WERE UPDATED BASED ON THE INVESTIGATION OUTCOME.

Description of Event or Problem · 0

IT WAS REPORTED TO PHILIPS THAT THE WIRELESS FOOTSWITCH WAS UNABLE TO CHARGE WHICH CAN IMPACT IMAGING. 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
286005 AZURION INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM OWB PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. AZURION 7 B20 00884838099272

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown