—#96629

Product

The Panorama HFO system has the Traceable Item Identification (12NC): 9896 030 17741-SW R 2.5.1 (shipped as R 2.5.1, upgraded to R 2.5.3 via FCO). 9896 030 19641-SW R 2.5.3 9896 030 19861-SW R 2.6.1 9896 030 19862-SW R 2.6.1 9896 030 19863-SW R 2.6.3

FDA product code: LNH — System, Nuclear Magnetic Resonance Imaging
Device class: Class 2
Medical specialty: Radiology
510(k) numbers: K041602
Affected lot / code info: Site Numbers: 533860, 533900, 535230, 535664, 538574, 539374, 540482, 541065, 541851, 542236, 544039, 544148, 544696, 545034, 545732, 545981, 546206, 547843, 547897, 548040, 548064, 549389, 549909, 550324, 550439, 551025, 551583, 552453, 552526, 552609, 553116, 554715, 556146, 556161, 556895, 557599, 41443708, 41444456, 41444458, 41444745, 41445015, 41445018, 41445530, 41445594, 41445595, 41446119, 41455905, 41455908, 41455913, 41455915, 41455923, 41455938, 41455940, 41455954, 42047935, 42057444, 42293607, 42392891, 42608348, 42850814, 42892497, 42917294, 43708886, 44062048, 44247559, 44605983, 45130117, 45245963, 45246494, 45246504, 45445404, 47157157, 47230785, 47455618, 47480028, 47848863, 49060365, 49060404, 49416204, 49424702, 49776644, and 49861074.

Why it was recalled

In the ExamCard MobiFlex the Patient Position is "Prone" which must be "Supine". The result is mislabeling of left and right side of the patient. If this is not detected by the operator there is a risk of wrong treatment or the need of additional X-RAY during treatment.

Root cause (FDA determination)

Other

Action the firm took

Philips began sendng out the URGENT-Device Correction Notice letter dated February 5, 2010, ro all affected consignees on February 10, 2010. The consignees were advised to change the patient position from "Prone" immediately to "Supine" and store the corrected ExamCard in the hospital database if they use the ExamCard, MobiFlex dual Injection. Consignees were instructed to call Philips Healthcare Call Center at 800-722-9377 #5 (then follow prompts) and also reference "FCO 78100318" with any communication.

Recalling firm

Firm: Philips Medical Systems North America Co. Phillips
Address: 22100 Bothell Everett Hwy, Bothell, Washington 98021-8431

Distribution

Distribution pattern: Nationwide Distribution including the following states: AL, CA, DE, FL, GA, IA, IL, IN, KS, KY, LA, MA, MD, MI, MO, NE, NH, NJ, NY, OH, OR, SC, TN, TX, VA, VT, WI, and WV.AL, CA, DE, FL, GA, IA, IL, IN, KS, KY, LA, MA, MD, MI, MO, NE, NH, NJ, NY, OH, OR, SC, TN, TX, VA, VT, WI, and WV. There was no foreign consignees.

Timeline

Recall initiated: 2010-02-05
Posted by FDA: 2011-03-01
Terminated: 2011-08-10
Status: —

Source: openFDA Device Recall endpoint. Recall record ID #96629. The FDA issues recall classifications as health-hazard assessments, not legal findings; for legal claims consult a licensed attorney.