FDA Adverse Event
Death
Summary report: N
AZURION
MDR report key: 24896723
·
Received April 16, 2026
Report
- Report Number
- 3003768277-2026-101057
- Event Type
- Death
- Date Received
- April 16, 2026
- Date of Event
- March 23, 2026
- Report Date
- April 16, 2026
- Manufacturer
- PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
- Product Code
- OWB
- UDI-DI
- 00884838099227
- PMA / PMN Number
- K200917
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IT WAS REPORTED TO PHILIPS THAT AT THE START OF AN EMERGENCY PERCUTANEOUS CORONARY INTERVENTION (PCI), THERE WAS AN ISSUE RELATED TO THE SYSTEM¿S X RAY EXPOSURE AND/OR GEOMETRY (TABLE) MOVEMENT, AND THAT PRIOR TO/SIMULTANEOUSLY WITH/AFTER THE ATTEMPT TO START THE PROCEDURE, THE PATIENT EXPERIENCED A CARDIAC ARREST AND REQUIRED CARDIOPULMONARY RESUSCITATION (CPR). CPR WAS ADMINISTERED FOR APPROXIMATELY 45 MINUTES; HOWEVER, THE PATIENT COULD NOT BE RESUSCITATED. PHILIPS HAS INITIATED AN INVESTIGATION INTO THE REPORTED COMPLAINT, WHICH, AT THIS TIME, IS STILL CHARACTERIZED BY INCOMPLETE AND/OR SEEMINGLY CONFLICTING INFORMATION. AN INVESTIGATION INTO THIS COMPLAINT HAS BEEN INITIATED BY PHILIPS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 955479 | AZURION | INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM | OWB | PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. | AZURION 5 M12 | 00884838099227 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 65 YR | Female | Death |