Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2057-2021Class II

SIGNA PET/MR, Tomographic Imager Combining Emission Computed Tomography With Nuclear Magnetic Resonance

GE Healthcare / initiated 2021-06-04 / Open, Classified / root cause: software

GE Healthcare, LLC began a recall of SIGNA PET/MR, Tomographic Imager Combining Emission Computed Tomography With Nuclear Magnetic Resonance on . FDA classified it as Class II and gives the reason as "GE Healthcare has recently become aware of an issue on the affected products listed below where the "Patient Orientation" button may inadvertently be clicked when intending to click on the "Save RX" button. This changes...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as software.

Recall record

Recall number
Z-2057-2021
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
GE Healthcare
Product
SIGNA PET/MR, Tomographic Imager Combining Emission Computed Tomography With Nuclear Magnetic Resonance
Product code
OUO Tomographic Imager Combining Emission Computed Tomography With Nuclear Magnetic Resonance
Reason for recall
GE Healthcare has recently become aware of an issue on the affected products listed below where the "Patient Orientation" button may inadvertently be clicked when intending to click on the "Save RX" button. This changes the prescribed patient orientation on the system prior to running the initial 3-Plane Localizer Scan (See Figure 1 for reference to buttons.) Selecting and saving a patient orientation that does not match the patient's actual position may result in incorrectly annotated and/or flipped images.
Root cause tag
software
FDA root cause
Software design
Action
Deployment of the original customer letter to consignees in the U.S. began on June 4, 2021. Dissemination of the updated customer letter to consignees in the U.S. began on June 11, 2021. The letters discuss an issue on the affected products listed below where the Patient Orientation button may inadvertently be clicked when intending to click on the Save RX button. Users are directed to review and confirm that the actual patient orientation matches the prescribed patient orientation before initiating the scan. A correction is planned.
Quantity in commerce
71 devices
Distribution
Worldwide distributions.
Product codes and lots
N/A

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2057-2021
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2052-2021Class IIOngoingVoluntary: Firm initiated
Z-2053-2021Class IIOngoingVoluntary: Firm initiated
Z-2054-2021Class IIOngoingVoluntary: Firm initiated
Z-2055-2021Class IIOngoingVoluntary: Firm initiated
Z-2056-2021Class IIOngoingVoluntary: Firm initiated
Z-2057-2021Class IIOngoingVoluntary: Firm initiated
Z-2058-2021Class IIOngoingVoluntary: Firm initiated
Z-2059-2021Class IIOngoingVoluntary: Firm initiated
Z-2060-2021Class IIOngoingVoluntary: Firm initiated
Z-2061-2021Class IIOngoingVoluntary: Firm initiated
Z-2062-2021Class IIOngoingVoluntary: Firm initiated
Z-2063-2021Class IIOngoingVoluntary: Firm initiated
Z-2064-2021Class IIOngoingVoluntary: Firm initiated
Z-2065-2021Class IIOngoingVoluntary: Firm initiated