FDA Device Recalls

Recalls /

#205414

Product

ProxiDiagnost upgrade- A Multi-functional general Radiography and Fluoroscopy (R/F) system Ref:706150

FDA product code
JAASystem, X-Ray, Fluoroscopic, Image-Intensified
Device class
Class 2
Medical specialty
Radiology
510(k) numbers
K212837
Affected lot / code info
UDI: N/A Serial Numbers US: 4 5 6 7 8 9 11 12 13 14 17 18 61 692222229 692222254 692222263 Serial Numbers OUS: 53 56 65 692222227

Why it was recalled

Issue 1: Mixed Images: The Radio Fluoroscopy (RF) viewer may also display a previous patients radiography (RAD) images when starting the next patient scan while the previous patient image export is still processing. If the issue occurs, there is a potential for incorrect patient data to be displayed in the image. Issue 2: Detector Access point: Security vulnerability specific to the Wireless Portable Detector configuration items in Philips Support Connect (PSC). Due to this vulnerability it is possible, with physical access to the system and knowledge of specific settings, to modify and export data to removable media (example: USB)

Root cause (FDA determination)

Software design

Action the firm took

***UPDATE*** 19 ProxiDiagnost N90 Systems (18 US & 1 OUS) added to scope as these systems were produced prior to implementation of the solution in forward production. The newly identified consignees notified on 20 Nov 2024*** Philips issued URGENT Medical Device Correction ProxiDiagnost N90 1.1 and ProxiDiagnost Upgrade on 12/15/2024. Letter states reason for recall, health risk and action to take: For Issues 1 and 2: " To avoid previous patient data from being represented as current patient data, ensure all images have been exported from the previous RAD exam before starting a new examination. " Correct images will be square shape and wrong images can be recognized by a different patient anatomy and rectangular shape. If you identify a wrong image, flag the incorrect images and only export not flagged images for the current examination to PACS (See figure. Refer to Appendix A for specific details regarding the other issue descriptions and advice on actions to be taken. " Customers can continue using affected systems in accordance with the intended use. " Circulate this notice to all users of this device so that they are aware of the issue. Please complete and return the attached response form to Philips promptly and no later than 30 days from receipt. Completing this form confirms receipt of the URGENT Medical Device Correction Notice, understanding of the issue, and required actions to be taken. A Field Service Engineer (FSE) will contact you to schedule a time to visit your site and install the software upgrade to resolve the issues (Reference FCO70600110). Philips plans to start implementing the solution in Q2 2024. The software upgrade will also include software enhancements to improve clinical experience. If you need any further information or support concerning this issue, please contact your local Philips representative: For North America, contact the Customer Care Solutions Center (1-800-722-9377).

Recalling firm

Firm
Philips North America
Address
222 Jacobs St, Cambridge, Massachusetts 02141-2296

Distribution

Distribution pattern
Nationwide Foreign: Australia Germany India Italy Malaysia Panama Thailand

Timeline

Recall initiated
2023-12-15
Posted by FDA
2024-02-09
Status

Source: openFDA Device Recall endpoint. Recall record ID #205414. The FDA issues recall classifications as health-hazard assessments, not legal findings; for legal claims consult a licensed attorney.