FDA Adverse Event
Malfunction
Summary report: N
LUMINOS DRF MAX
MDR report key: 24616109
·
Received March 17, 2026
Report
- Report Number
- 3004977335-2026-00035
- Event Type
- Malfunction
- Date Received
- March 17, 2026
- Date of Event
- March 4, 2026
- Report Date
- March 17, 2026
- Manufacturer
- SIEMENS HEALTHINEERS AG
- Product Code
- OWB
- UDI-DI
- 04056869009155
- PMA / PMN Number
- K173639
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
H3, H6: INITIAL ACTIONS (CORRECTIVE AND/OR PREVENTIVE): CURRENTLY NO GENERAL PROBLEM HAS BEEN DETECTED FOR THE INSTALLED BASE, WHICH REQUIRES IMMEDIATE ACTION. MANUFACTURER'S PRELIMINARY RESULTS AND CONCLUSION: THE INVESTIGATION IS ONGOING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON RECEIPT OF ADDITIONAL REPORTABLE INFORMATION AND/OR INVESTIGATION COMPLETION.
Description of Event or Problem · 0
SIEMENS HEALTHINEERS WAS NOTIFIED OF A PROBLEM INVOLVING THE LUMINOS DRF MAX SYSTEM. IT WAS STATED THAT DURING AN EXAMINATION, THE PATIENT TABLE TILTED COUNTERCLOCKWISE WITHOUT REQUEST. THE USER WAS ABLE TO STOP THE MOVEMENT. THERE WERE NO INJURIES COMMUNICATED ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 685011 | LUMINOS DRF MAX | INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM | OWB | SIEMENS HEALTHINEERS AG | 10762471 | 04056869009155 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |