FDA Recall Terminated

TRINIAS for diagnostic imaging and interventional procedures in cardiac angiography, neurovascular angiography, abdominal angiography, peripheral angiography, rotational angiography, multi-purpose angiography and whole body radiographic/fluoroscopic procedures.

Recall: Z-0864-2019 · Initiated January 14, 2019

Recall

Recall Number
Z-0864-2019
Event Number
82002
Firm
Shimadzu Medical Systems Usa Com
FEI Number
1000125362
Product Code
OWB
Status
Terminated
Root Cause
Software design
Initiated
January 14, 2019
Terminated
April 30, 2021
Address
20101 S Vermont Ave, Torrance, CA, 90502-1328

Description

TRINIAS for diagnostic imaging and interventional procedures in cardiac angiography, neurovascular angiography, abdominal angiography, peripheral angiography, rotational angiography, multi-purpose angiography and whole body radiographic/fluoroscopic procedures.

Reason

Two issues: Event 1: Normal operation of the device is to power up the device in the morning, register the first patient, and then perform a fluoroscopy. If, however, the user powers up the device in the morning and makes an error by starting a fluoroscopy while the first patient is still being registered, the device application will abnormally terminate and require service intervention before it can be used again. This event will not occur after the first patient procedure. Event 2: In rare cases a synchronization error may occur in the data transmission circuit in the device due to external noise. The visibility of the displayed image may be corrupted (images become bit-shifted abnormal images). If this event occurs, it may become difficult to see the object, which may hinder the examination and treatment.

Action

The dealers by email on 01/14/2019 and the end users by mail on 01/15/2019. The letters to the end users explain the problem and a workaround. A service representative will contact the end user to schedule a software update.

Distribution

FL, MT, CT, OH, IL, TX, MS, LA, SC

Quantity

13 units