Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1989-2021Class II

Continuous CT Fluoroscopy DVI Ceiling Mount CCT Arm DVI Option - Monitor 882476 - Gemini TF Big Bore PET/CT

Philips North America LLC / initiated 2021-05-01 / Open, Classified / root cause: design

Philips North America Llc began a recall of Continuous CT Fluoroscopy DVI Ceiling Mount CCT Arm DVI Option - Monitor 882476 - Gemini TF Big Bore PET/CT on . FDA classified it as Class II and gives the reason as "Significant wear of the Monitor Bracket Assembly shaft goes unrecognized could potentially lead to the Monitor Bracket Assembly detaching from the Suspension Arm and result in potential hazard for the monitor to fall...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as design.

Recall record

Recall number
Z-1989-2021
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Philips North America LLC
Product
Continuous CT Fluoroscopy DVI Ceiling Mount CCT Arm DVI Option - Monitor 882476 - Gemini TF Big Bore PET/CT
Product code
KPS System, Tomography, Computed, Emission
Reason for recall
Significant wear of the Monitor Bracket Assembly shaft goes unrecognized could potentially lead to the Monitor Bracket Assembly detaching from the Suspension Arm and result in potential hazard for the monitor to fall while remaining attached to the cables resulting in patient, operator, bystander, or service person to serious injury.
Root cause tag
design
FDA root cause
Device Design
Action
Philips issued URGENT- Field Safety Notice Medical Device Correction letter on 5/1/21 FSN 72800751 and FSN 88200530 . Letter states reason for recall, health risk and action to take: " Be aware of this hazard when the safety clip is missing from the joint assembly between the Monitor Bracket Assembly and the Ceiling Suspension Arm. " Inspect the joint area of their CCT DVI Ceiling Mount Arm (the circled area in picture at theright) and observe that the safety clip is installed (as depicted in pictures below). " When this hazard occurs, the monitor may become difficult to rotate relative to the Suspension Arm. When these symptoms are recognized, in order to avoid the occurrence of a hazardous situation, take the following actions: stop using the suspension monitor clinically move the monitor arm away from any person call Philips Service for repairs. Please acknowledge the receipt of this notice by completing, signing, and returning the form attached at the end of this communication to the indicated email address. Philips will inspect systems via Field Change Order FCO 88200530. Systems failing the inspection will be corrected via Field Change Order FCO 882531 For North America, contact the Customer Care Solutions Center (1-800-722-9377, follow the prompts).
Quantity in commerce
1,301 Monitor Bracket Assemblies total
Distribution
Worldwide distribution - US Nationwide and the countries of Canada, Mexico, AE, AR, AT, AU, BD, BE, BR, CH, CL, CN, CO, CU, CY, CZ, DE, DK, DZ, EE, EG, ES, FI, FR, GB, GE, GI, GL, GR, HK, HU, ID, IE, IL, IN, IQ, IR, IT, JO, JP, KE, KG, KH, KR, LA, LB, LK, LT, LY, MM, MN, MU, MV, MY, NI, NL, NO, NZ, OM, PA, PF, PH, PK, PL, PS, PT, QA, RE, RU, RW, SA, SE, SG , SI, SK, TH, TN, TR, UZ, VN, XK, YE, ZA, ZW.
Product codes and lots
Model/ Serial Number/UDI: N/A 882476 9006 N/A

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1989-2021
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1979-2021Class IIOngoingVoluntary: Firm initiated
Z-1980-2021Class IIOngoingVoluntary: Firm initiated
Z-1981-2021Class IIOngoingVoluntary: Firm initiated
Z-1982-2021Class IIOngoingVoluntary: Firm initiated
Z-1983-2021Class IIOngoingVoluntary: Firm initiated
Z-1984-2021Class IIOngoingVoluntary: Firm initiated
Z-1985-2021Class IIOngoingVoluntary: Firm initiated
Z-1986-2021Class IIOngoingVoluntary: Firm initiated
Z-1987-2021Class IIOngoingVoluntary: Firm initiated
Z-1988-2021Class IIOngoingVoluntary: Firm initiated
Z-1989-2021Class IIOngoingVoluntary: Firm initiated
Z-1990-2021Class IIOngoingVoluntary: Firm initiated