FDA Adverse Event Malfunction Summary report: N

ALLURA XPER FD10

MDR report key: 23072837 · Received September 17, 2025

Report

Report Number
3003768277-2025-010464
Event Type
Malfunction
Date Received
September 17, 2025
Date of Event
August 20, 2025
Report Date
October 15, 2025
Manufacturer
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
Product Code
IZI
PMA / PMN Number
K041949
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AR, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

IT WAS IDENTIFIED THAT THIS IS A DUPLICATE COMPLAINT FROM AN ALREADY REPORTED COMPLAINT. THE INVESTIGATION WILL BE ADDRESSED IN MFR REPORT NUMBER 3003768277-2025-010314. THIS COMPLAINT WILL BE CLOSED AS DUPLICATE.

Description of Event or Problem · 0

IT WAS REPORTED TO PHILIPS THAT THE SYSTEM LOCKED UP, PREVENTING IMAGING. THE DEVICE WAS IN CLINICAL 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
2598250 ALLURA XPER FD10 SYSTEM, X-RAY, ANGIOGRAPHIC IZI PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ALLURA XPER FD10

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown