Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-3205-2011

PCR Eleva Radiological Image Processing System with software R.1.2 Philips Healthcare, Inc. A computed...

Philips North America LLC / initiated 2011-07-27 / Terminated / root cause: software

Philips Healthcare Inc. began a recall of PCR Eleva Radiological Image Processing System with software R.1.2 Philips Healthcare, Inc. A computed radiography image processing system on . The reason FDA records is "The mirror icon on the bottom of each image could be interpreted as a RIGHT marker for side indication if the image is mirrored again within a PACS system. This could potentially lead to a misdiagnosis". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-3205-2011
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Philips North America LLC
Product
PCR Eleva Radiological Image Processing System with software R.1.2 Philips Healthcare, Inc. A computed radiography image processing system.
Product code
LLZ System, Image Processing, Radiological
Reason for recall
The mirror icon on the bottom of each image could be interpreted as a RIGHT marker for side indication if the image is mirrored again within a PACS system. This could potentially lead to a misdiagnosis
Root cause tag
software
FDA root cause
Software design
Action
Philips Healthcare Inc. sent out "Urgent --Medical Device Correction" notices dated June 10, 2011 to all affected customers. The letter described the product and problem. Customers were informed the "burned-in Mirror-Icon" may be misinterpreted as a Right marker. Customers are advised to preferably use lead markers during each X-ray acquisition or alternatively electronic annotations on each image for side indication. The presentation of these markers within each image will clearly show the difference between the intended Left/Right indication and the little mirror ICON. Philips will install improved software that prevents the misinterpretation of the symbol and will schedule the installation of the updated software. For questions on this recall call Phillips Healthcare Inc. at 978-687-1501.
Quantity in commerce
197 units
Distribution
Worldwide Distribution: Nationwide distribution; and including the countries of Albania, Angola, Argentina, Australia, Austria, Azerbaijan, Belgium, Bolivia, Brazil, Bulgaria, Canada, Chile, China, Croatia, Denmark, Egypt, France, Germany, Ghana, Greece, Greece, Haiti, Hungary, Indonesia, Iraq, Israel, Italy, Kazakhstan, Kenya, Latvia, Libya, Liechtenstein, Lithuania, Malawi, Malta, Martinique, Mexico, Mozambique, Netherlands, New Zealand, Nigeria, Norway, Oman, Philippines, Portugal, Puerto Rico, Romania, Russia, Saudi-Arabia, Serbia, Slovakia, South Africa, Spain, Sudan, Sweden, Switzerland, Tanzania, Thailand, Tschech. Rep, Turkey, Turkmenistan, UAE, Uganda, and United Kingdom.
Product codes and lots
Software version 1.2 Models: 732040, 732042, 732044, 732048, 732050, 732052, 732080, 732082