AZURION
Report
- Report Number
- 3003768277-2025-014391
- Event Type
- Malfunction
- Date Received
- November 10, 2025
- Date of Event
- October 14, 2025
- Report Date
- March 3, 2026
- Manufacturer
- PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
- Product Code
- OWB
- UDI-DI
- 00884838116801
- PMA / PMN Number
- K200917
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
PHILIPS HAS INVESTIGATED THIS COMPLAINT. ACCORDING TO ADDITIONAL INFORMATION COLLECTED, THE DIAGNOSTIC PROCEDURE WAS COMPLETED WITH DELAY OF LESS THAN 20 MINUTES. THE PHILIPS REMOTE SERVICE ENGINEER (RSE) CHECKED THE SYSTEM REMOTELY AND CONFIRMED THAT THE IMAGE AT 15:12 IS NO LONGER DISPLAYED. UPON TROUBLESHOOTING, THE RSE IDENTIFIED THE MONITOR AND TOUCH PANEL SCREENS WENT BLANK. THE RSE REVIEWED SYSTEM LOG FILES AND FOUND THAT THE BODYGUARD REPEATEDLY ISSUED THE "APCACCEPTBUTTON" COMMAND, CAUSING THE SOFTWARE TO RESTART AND THE ICONTROL INTERFACE TO LOSE CONNECTION WITH THE INTERNAL COMPONENT. ADDITIONAL REVIEW OF THE SYSTEM LOGS REVEALED XRAY SERVICE CRASH WITH COLLISION AND APC USAGE. TO RESOLVE THE ISSUE, THE SOFTWARE WAS RESTARTED. AFTER WHICH, THE SYSTEM WAS RETURNED TO USE IN GOOD WORKING ORDER. AT THE TIME THIS COMPLAINT WAS RECEIVED, PHILIPS DID NOT HAVE ENOUGH INFORMATION TO EXCLUDE A PRODUCT MALFUNCTION WITH THE POTENTIAL FOR DEATH OR SERIOUS INJURY ON RECURRENCE, AND AS SUCH THE COMPLAINT WAS REPORTED. SINCE THAT TIME, NEW INFORMATION HAS BEEN RECEIVED WHICH HAS LED TO THE DETERMINATION THAT THIS IS SCENARIO IS NOT LIKELY TO CAUSE OR CONTRIBUTE TO DEATH OR SERIOUS INJURY IF IT WERE TO RECUR. AS PER THE INFORMATION RECEIVED THE PROCEDURE WAS NOT AFFECTED, AND THE CUSTOMER WAS ABLE TO COMPLETE AS PLANNED WITH THE SAME SYSTEM WITH MINIMUM DELAY, IS NOT LIKELY TO CAUSE OR CONTRIBUTE TO DEATH OR SERIOUS INJURY SHOULD IT RECUR. THEREFORE, BASED ON THIS INVESTIGATION RESULTS, PHILIPS CONCLUDES THAT THIS COMPLAINT IS NOT REPORTABLE. THE CODES WERE UPDATED BASED ON THE INVESTIGATION OUTCOME.
IT WAS REPORTED TO PHILIPS THAT THE AUTOMATIC POSITION CONTROL ACCEPT BUTTON WAS PRESSED MULTIPLE TIMES, PREVENTING IMAGING. 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.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 312884 | AZURION | INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM | OWB | PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. | AZURION 7 B20 | 00884838116801 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |