FDA Enforcement Class II Ongoing

DigitalDiagnost C90 Flex/Value/Chest/ER. radiography and fluoroscopy system

Recall: Z-1329-2022 · Reported July 20, 2022

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

Reason

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.

Code Info

Model 712035 Serial Numbers 21862105 21862107 21862123 21862126 22860027

Distribution

US Nationwide Distribution

Quantity

140 systems in total, (Updated 1/30/2023).