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