—#208281

Product

SENSE XL TORSO COIL 3.0T. 16-element receive only coil for torso and abdomen imaging in Philips MR Intera and Achieva Systems. Model Numbers: 453567394941, 453567394942, 453567394943, 453567394945, 459801593182. Coils may be included in kits with Mode Numbers: 989603050641, 989603050642.

FDA product code: MOS — Coil, Magnetic Resonance, Specialty
Device class: Class 2
Medical specialty: Radiology
510(k) numbers: K043147, K052013
Affected lot / code info: UDI-DI: N/A. 1. Model Number 453567394941. Serial Number: 9. 2. Model Number 453567394942. Serial Numbers: 40000, 100, 102, 104, 144, 192, 84, 98, 42. 3. Model Number 453567394943. Serial Numbers: 301, 228, 761, 87, 880, 814, 0174R3, 541, @001@0179R3, 0141R3, 0172R3, 0189R3, 0260R3, 0265R3, 0285R3, 0358R3, 116R3, 121, 127, 149, 152, 158, 165, 176, 180, 213R3, 216, 220, 224, 235, 237, 263, 265, 267, 273, 274, 286, 294, 298, 302, 303, 310R3, 312, 313, 316, 328R3, 336, 346, 359, 360, 374, 377, 382, 389, 400, 406, 421, 423, 424, 43, 431, 45, 454, 455, 460, 464, 466, 474, 477, 481, 488, 496, 505, 511, 513, 518, 523, 543, 549, 564, 576, 582, 592, 597, 602, 603, 61, 610, 611, 617R3, 627, 632, 633, 635, 642, 657, 658, 666r3, 669, 670, 672, 685, 686, 694, 708, 710, 716, 720, 726, 729, 732, 736, 745, 757, 761, 763, 780, 782, 783, 788, 793, 800, 828, 84, 861, 87, 880, 887, 89, 907, 908, 913, 924, 926, 932, 939, 947, 956, 961, 967. 4. Model Number 453567394945. Serial Numbers: 104, 107, 108, 117, 129, 145, 165, 166, 178, 180, 198, 201, 211, 22, 222, 225, 229, 242, 268, 31, 336, 35, 42, 64, 69, 87, 916, 94. 5. Model Number 459801593182. Serial Numbers: 116, 141, 165, 211, 100, 103, 104, 110, 112, 123, 124, 127, 128, 13, 131, 133, 134, 136, 142, 143, 144, 145, 146, 148, 15, 150, 156, 158, 164, 167, 168, 172, 173, 174, 179, 183, 186, 192, 193, 194, 195, 198, 199, 20, 204, 208, 21, 217, 221, 225, 23, 230, 232, 240, 241, 246, 249, 251, 253, 254, 26, 262, 264, 265, 266, 268, 275, 278, 279, 28, 288, 294, 297, 298, 303, 306, 311, 312, 313, 315, 321, 324, 326, 330, 339, 34, 340, 344, 345, 346, 349, 350, 352, 354, 355, 357, 361, 362, 365, 368, 370, 39, 40, 42586, 44, 52, 53, 57, 6, 60, 62, 63, 64, 66, 705, 71, 72, 79, 80, 88, 932, 94, 97. 6. Model Number 989603050641. Serial Numbers: 152, 169, 179, 88, 83, 109, 105, 130, 176. 7. Model Number 989603050642. Serial Numbers: 529, 509, 217, 189, 127, 311, 85, 531, 534, 546, 561, 347, 609, 296, 142, 110, 391, 137, 20, 28, 160, 378, 370, 172, 202, 76, 272, 326, 404, 167, 94, 446, 560, 521, 497, 353, 515, 386, 369, 253, 571, 220, 333, 362, 265, 426, 442, 469, 74, 31, 284, 533, 147, 248, 259, 69, 330, 270, 525, 611, 102, 309, 461, 52, 191, 203, 108, 8, 100, 524, 381, 503, 389, 283, 360, 53, 348, 448, 490, 556, 22, 380, 247, 59, 554, 589, 580, 403, 507, 226, 452, 183, 357, 224, 472, 39, 221, 435, 16, 480, 266, 255, 445, 588, 1, 128, 466, 32, 124, 133, 276, 329, 431, 443, 598, 227, 584, 14, 449, 295, 513, 168, 535, 40, 17, 48, 104, 51, 177, 64, 287, 9, 394, 174, 494, 201, 50, 482, 590, 350, 438, 487, 365, 297, 368, 57, 196, 432, 551, 310, 12, 242, 250, 249, 240, 366, 382, 18, 390, 320, 129, 604, 314, 545, 437, 58, 583, 175, 367, 274, 510, 512, 573, 131, 505, 44, 599, 47, 595, 398, 206, 593, 564, 495, 619, 54, 30, 122, 552, 312, 161, 254, 275, 282, 387, 123, 335, 364, 570, 607, 166, 91, 384, 379, 436, 508, 193, 474, 407, 575, 577, 608, 601, 356, 188, 232, 324, 430, 422, 455, 155, 195, 321, 300, 361, 194, 208, 338, 418, 214, 99, 243, 492, 317, 581, 103, 237, 340, 401.

Why it was recalled

Potential for coils to heat up and harm patients (burn).

Root cause (FDA determination)

Device Design

Action the firm took

An URGENT MEDICAL DEVICE RECALL notice, dated 5/31/24, was mailed to consignees. The notice instructs users to follow the provided instructions when operating a MR system with affected coils. These instructions include avoiding First Level Operating Mode/High SAR scans, use dedicated pads and mattresses provided with the coils. avoid positioning the coil closer than 2 inches (5 cm) from the bore, and do not exceed 45 minutes of examination time. An Advisory Notice that summarizes the recommended actions was provided with the recall notification and is to be displayed with affected systems to ensure access by operators. The recall notification is to be circulated among users of affected systems. The completed response form is to be returned to Philips by email at pd.cnr@philips.com. Philips is developing field corrections in response to this recall that include potential software risk control measures to limit scan settings when using the coils, hardware updates, and improving the design of the coil. Philips intends to update consignees on these actions by the end of 2024. Consignees with any questions can contact the Customer Care Solutions center from 8:00 AM to 8:00 PM from Monday through Friday at 1-800-722-9377. An updated letter was mailed to consignees on about 12/11/2024. The contained the same information but provided an update on Philips actions which include: 1. Warning label for coil and pad: Per your response form Philips will contact you to schedule time for a Field Service Engineer (FSE) to visit your site to apply a warning label to the coil and pad starting in January 2025. (Ref 78100607); 2. Instruction For Use (IFU) Update: Including additional warnings and illustrations Q2 2025.

Recalling firm

Firm: Philips North America Llc
Address: 222 Jacobs St, Cambridge, Massachusetts 02141-2289

Distribution

Distribution pattern: Worldwide distribution: US (Nationwide) and OUS (Foreign): Afghanistan, Argentina, Australia, Austria, Bahrain, Bangladesh, Belgium, Brazil, Cambodia, Canada, Cayman Islands, Chile, China, Colombia, Czech Republic, Denmark, Ecuador, Egypt, Estonia, Ethiopia, Finland, France, Germany, Greece, Hong Kong, Hungary, India, Indonesia, Iran, Ireland, Israel, Italy, Japan, Jordan, Kazakhstan, Kenya, Lebanon, Lithuania, Malaysia, Mexico, Morocco, Netherlands, New Zealand, Norway, Oman, Pakistan, Papua New Guinea, Peru, Philippines, Poland, Portugal, Republic of Korea, Romania, Russian Federation, Saudi Arabia, Serbia, Slovakia, South Africa, South Korea, Spain, Sri Lanka, Sweden, Switzerland, Taiwan, Tanzania, Thailand, T¿rkiye, United Arab Emirates, United Kingdom, Uzbekistan, Venezuela, Vietnam.

Timeline

Recall initiated: 2024-06-05
Posted by FDA: 2024-06-27
Status: —

Source: openFDA Device Recall endpoint. Recall record ID #208281. The FDA issues recall classifications as health-hazard assessments, not legal findings; for legal claims consult a licensed attorney.