Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2521-2020Class II

uDR 596i Digital Medical X-Ray Imaging System -

Shanghai United Imaging Healthcare Co., Ltd. / initiated 2020-02-27 / Terminated / root cause: software

Shanghai United Imaging Healthcare Co., Ltd. began a recall of uDR 596i Digital Medical X-Ray Imaging System - Product Usage: intended to use by a qualified/ trained doctor or technician on both adult and pediatric... on . FDA classified it as Class II and gives the reason as "Two issues were identified with the stationary x-ray system. 1. Some position illustrations in the patient exam interface show the incorrect anatomical position for the standard of care. When the image is acquired with...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-2521-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Shanghai United Imaging Healthcare Co., Ltd.
Product
uDR 596i Digital Medical X-Ray Imaging System - Product Usage: intended to use by a qualified/ trained doctor or technician on both adult and pediatric subjects for taking diagnostic radiographic exposures of the skull, spinal column, chest, abdomen, extremities, limbs and trunk.
Product code
KPR System, X-Ray, Stationary
Reason for recall
Two issues were identified with the stationary x-ray system. 1. Some position illustrations in the patient exam interface show the incorrect anatomical position for the standard of care. When the image is acquired with the wrong reference position, clinical diagnostic requirements cannot be met.T2. Where image stitching is used, the left and right tag information may be lost. When these problems are encountered, an additional exposure is needed and the patient will receive more radiation.
Root cause tag
software
FDA root cause
Software design
Action
The firm sent a Customer Notification Letter by email on February 27, 2020. The letter included identification of the serial numbers of devices affected by this issue. The firm's direct customers were instructed to identify users of the affected systems which have been installed. Customers were informed that they should not refer to illustrations showing the incorrect anatomical position for the standard of care, and that the impacted systems will be immediately remedied with a software hotfix on R002.19.0-4.8648-690113 software version via field software update. Customers with questions were instructed to call (855) 221-1552 (toll free) or (832) 699-2799 (direct).
Quantity in commerce
6 units
Distribution
US Nationwide distribution including in the state of Texas.
Product codes and lots
Model Number uDR 596i with software versions R002.19.0-1.8402-690106 and R002.19.0.8648.690112. Serial numbers: 270012, 270013, 270014, 270015, 270016 and 270017. UDI numbers: (01)06971576833023(240)88000093(21)270012;  (01)06971576833023(240)88000093(21)270013;  (01)06971576833023(240)88000093(21)270014;  (01)06971576833023(240)88000093(21)270015; XXX; and XXX.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2521-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2521-2020Class IITerminatedVoluntary: Firm initiated