Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0200-2022Class II

Artis zeego, Fluoroscopic X-Ray System Models: 10280959,10502505, 10848283 in combination with the following...

Siemens Medical Solutions USA, Inc. / initiated 2021-09-24 / Open, Classified / root cause: software

Siemens Medical Solutions USA, Inc began a recall of Artis zeego, Fluoroscopic X-Ray System Models: 10280959,10502505, 10848283 in combination with the following workplace/system application software models... on . FDA classified it as Class II and gives the reason as "Software error, the software can produce an incorrect interpretation of the table rotation if the table has been rotated by more than 4degrees in either direction. This can cause the 3D image reconstruction to be shown...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as software.

Recall record

Recall number
Z-0200-2022
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Siemens Medical Solutions USA, Inc.
Product
Artis zeego, Fluoroscopic X-Ray System Models: 10280959,10502505, 10848283 in combination with the following workplace/system application software models: Product/Model #: syngo X Workplace, 10281061 syngo X Workplace, 10281299 syngo X Workplace, 10502522 Syngo Application Software, 10848815
Product code
OWB Interventional Fluoroscopic X-Ray System
Reason for recall
Software error, the software can produce an incorrect interpretation of the table rotation if the table has been rotated by more than 4degrees in either direction. This can cause the 3D image reconstruction to be shown rotated by up to 5 degrees relative to the patient and to be used inappropriately by the system and result in incorrect treatment of the patient
Root cause tag
software
FDA root cause
Software design
Action
Siemens Healthineers issued Urgent Medical Device Correction Letter (AX059/21/S) dated 9/24/21. Letter states reason for recall, health risk and action to take: To avoid possible incorrect patient treatment, Siemens recommends a working position with 0 degree table rotation be used if intraoperative 3D images are required for subsequent steps (e.g., image superimposition, C-arm positioning, laser cross). If it should still be necessary to use a table rotation other than 0 degrees for intraoperative 3D images, please verify the C-arm position, needle position and image superimposition, by means of fluoroscopy. Siemens will provide a software update for all affected systems in which the system calculates table rotations and 3D reconstructions correctly. This corrective action will be distributed via Update Instruction AX058/21/S. Our service organization will contact you shortly to arrange a date to perform this corrective action. Please feel free to contact our service organization for an earlier appointment at 1-800-888-7436. Following the correction, the cause is eliminated, and any recurrence of this potential fault is prevented. Please review, understand, and confirm acknowledgement of the information and instructions outlined in this Urgent Safety Advisory Notice. By signing this document, you are acknowledging that you have read and understand the content therein.
Quantity in commerce
43 US
Distribution
US Nationwide distribution.
Product codes and lots
Artis zeego systems with Artis patient table and AppSW VD20C/VD20N

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0200-2022
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0200-2022Class IIOngoingVoluntary: Firm initiated