FDA Adverse Event
Malfunction
Summary report: N
AZURION
MDR report key: 23389661
·
Received October 27, 2025
Report
- Report Number
- 3003768277-2025-013138
- Event Type
- Malfunction
- Date Received
- October 27, 2025
- Date of Event
- May 27, 2021
- Report Date
- October 27, 2025
- Manufacturer
- PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
- Product Code
- OWB
- UDI-DI
- 00884838085282
- PMA / PMN Number
- K172822
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UZ
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
NO DEFINITIVE SOLUTION WAS PROVIDED; PHILIPS SERVICE SUGGESTED DIAGNOSTIC STEPS. 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 EXPOSURE ISSUE; SUSPECTED X-RAY TUBE FAULT ON A AZURION 3 M15. 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 |
|---|---|---|---|---|---|---|---|
| 2797769 | AZURION | INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM | OWB | PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. | AZURION 3 M15 | 00884838085282 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |