DigitalDiagnost C90 Flex/Value/Chest/ER. radiography and fluoroscopy system
Enforcement
- Recall Number
- Z-1329-2022
- Event ID
- 90490
- Classification
- Class II
- Status
- Ongoing
- Product Type
- Devices
- Firm
- Philips Medical Systems DMC GmbH
- Voluntary / Mandated
- FDA Mandated
- Initial Notification
- Letter
- Report Date
- July 20, 2022
- Initiation Date
- May 19, 2021
- Classification Date
- July 12, 2022
- Address
- Development And Manufacturing Ctr., Rontgenstr. 24-26, Hamburg, N/A, Germany
Description
DigitalDiagnost C90 Flex/Value/Chest/ER. radiography and fluoroscopy system
Following a system restart where the Table Height 2 (TH2) is the default setting and then switched to Wallstand VS2, operators will see an incorrect orientation of image on the first examination due to an issue in the firmware of the Wallstand VS2 board. The system will rotate the amplimat field selection by 90 degrees. The wrong amplimat field selection may cause an incorrect dose of radiation to occur. Additionally, the anatomic position markers may become mispositioned and could potentially be associated with the opposite side of the anatomy. (Updated 1/30/23) Expansion of the root cause to include incorrect amplimat field selection by 90 degrees following the first exposure using Wallstand VS2 and a subsequent system restart. Previously, this issue only occurred following a system restart where the Table Height 2 (TH2) is the default setting.
Model 712035 Serial Numbers 21862105 21862107 21862123 21862126 22860027
US Nationwide Distribution
140 systems in total, (Updated 1/30/2023).