FDA Adverse Event
Malfunction
Summary report: N
AZURION
MDR report key: 23411154
·
Received October 29, 2025
Report
- Report Number
- 3003768277-2025-013294
- Event Type
- Malfunction
- Date Received
- October 29, 2025
- Date of Event
- October 9, 2025
- Report Date
- November 12, 2025
- Manufacturer
- PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
- Product Code
- IZI
- UDI-DI
- 00884838110564
- PMA / PMN Number
- K200917
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER
- Health Professional
- N
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 3003768277-2025-012497. THIS COMPLAINT WILL BE CLOSED AS DUPLICATE.
Description of Event or Problem · 0
IT WAS REPORTED TO PHILIPS THAT THE SYSTEM DISPLAYED AN IMAGE DISK ISSUE MESSAGE AND COULD NOT STORE IMAGES. THE DEVICE WAS IN CLINICAL USE AT THE TIME OF THE EVENT. NO HARM TO THE PATIENT OR USER WAS REPORTED. PHILIPS HAS STARTED AN INVESTIGATION OF THIS COMPLAINT. THE COMPLAINT DEVICE AZURION 5 M20 (722281) IS NOT SOLD IN THE US. HOWEVER, ITS SIMILAR DEVICE 722228 IS MARKETED IN THE US UNDER 510(K): K200917.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2558277 | AZURION | INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM | IZI | PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. | AZURION 5 M20 | 00884838110564 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |