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 |