FDA Recall Open, Classified

ARTIS pheno systems with a Siemens Healthineers table or Trumpf/MAQUET table (OEM)- Angiography systems developed for single and biplane diagnostic imaging and interventional procedures. Model: 10849000

Recall: Z-1498-2023 · Initiated February 2, 2023

Recall

Recall Number
Z-1498-2023
Event Number
92046
Firm
Siemens Medical Solutions USA, Inc
FEI Number
2240869
Product Code
OWB
Status
Open, Classified
Root Cause
Software design
Initiated
February 2, 2023
Posted
May 2, 2023
Address
40 Liberty Blvd, Malvern, PA, 19355-1418

Description

ARTIS pheno systems with a Siemens Healthineers table or Trumpf/MAQUET table (OEM)- Angiography systems developed for single and biplane diagnostic imaging and interventional procedures. Model: 10849000

Reason

If, during the procedure, X-ray has been released and a reference image has been stored, the following issue may occur: If "Adjust C-arm to Ref" is activated when the C-Arm is positioned outside of the working range the C-Arm will reach the target position with an inaccuracy of 5-10 mm. As a result, the message Endposition reached will be displayed .Leading to unintended direction of the movement causing crushing of a patient, staff member, operator, or equipmen Live images may not match the previously stored reference images. Overlay images may be shown inaccurate on anatomy (e.g., DSA Roadmap workflow does not match real anatomy). This may cause e.g., a vessel perforation in DSA roadmap.

Action

Siemens Healthineers issued to all users of ARTIS pheno systems with a Siemens Healthineers table or Trumpf/MAQUET table (OEM) a Customer Safety Advisory Notice to affected customers via AX041/22/S dated 2/3/23. Letter states reason for recall, health risk and action to take for addressing three potential software issues: Detection of wrong table movement direction; Adjust C-arm to Ref; Missing movement stop with multiple collision sensor activation. Siemens will correct the software error via Update Instructions AX040/22/S. Our service organization will contact you shortly to arrange a date to perform this corrective action. Please feel free to contact our service organization for an earlier appointment at 1-800-888-7436. Please review, understand, and confirm acknowledgement of the information and instructions outlined in this Urgent Safety Advisory Notice. Siemens A software update to correct the error will be distributed to all affected customers via Update Instructions AX040/22/S. Affected systems will be updated to SW version VE10B.

Distribution

Worldwide - US Nationwide distribution.

Quantity

141 units US