Medical Device
Manufacturing
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Z-0885-2022Class II

SyncVision Systems, Model: 400-0100.10, PN: 30000485688x, with software version 4.2.x

Volcano Corporation / initiated 2022-01-19 / Open, Classified / root cause: design

Volcano Corporation began a recall of SyncVision Systems, Model: 400-0100.10, PN: 30000485688x, with software version 4.2.x on . FDA classified it as Class II and gives the reason as "If FFR measurement(s) are made prior to an iFR/FFR co-registration/pullback in the same procedural session, this could result in incorrect iFR/FFR Co-Registration results to be displayed, that may cause users to...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as design.

Recall record

Recall number
Z-0885-2022
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Volcano Corporation
Product
SyncVision Systems, Model: 400-0100.10, PN: 30000485688x, with software version 4.2.x
Product code
OWB Interventional Fluoroscopic X-Ray System
Reason for recall
If FFR measurement(s) are made prior to an iFR/FFR co-registration/pullback in the same procedural session, this could result in incorrect iFR/FFR Co-Registration results to be displayed, that may cause users to mistakenly use incorrect measurements, leading to inappropriate patient treatment. Image acquisition and processing system operators manual to be updated to include workflow alternatives.
Root cause tag
design
FDA root cause
Device Design
Action
On 01/19/22, correction notices were sent to customers who were informed of the following: If FFR measurement(s) are made prior to an iFR/FFR co-registration in the same procedural session. The user will be visually alerted with a warning message "Insufficient data, distal segment is not co-registered" on the display about the distal segment not being co-registered. The user may also notice the initial iFR/FFR co-registered distal value(s) will be higher than the correctly displayed distal iFR/FFR value(s). Recommended Course of Action: If prior to the iFR/FFR Pullback on the system, FFR measurement(s) were performed within the same procedural session, the user needs to follow any one of the following steps just prior to the iFR/FFR pullback to mitigate the issue: - Click on the "iFR Spot" button on the IntraSight system and perform at least one iFR Spot measurement. OR: - Go back to the "case menu" on the system and then re-enter the LIVE screen to perform iFR pullback. OR: - Exit the procedure and then re-enter the procedure using "Continue Procedure" option. Philips is in the process of updating the Operators Manual to ensure the issue, mitigations, and workarounds are effectively highlighted to inform the user. Notify all system users within your facility of this communication and retain a copy for reference. Send a copy of this notification to any customer to whom you have distributed the affected product to. Customers requiring additional information can contact customer service: 1-800-228-4728, Option 2, [email protected] Hours of Operation: Monday - Friday 8:00AM - 5:00PM PST
Quantity in commerce
3,216
Distribution
US: WI, CA, CO, MO, ID, DC, LA, VA, KS, OK, GA, KY, IL, AZ, NY, IN, FL, TX, NC, OH, WA, OR, NM, MT, IA, MI, TN, MN, PA, AL, MA, WV, NV, NH, CT, NE, NJ, HI, AR, UT, MD, SC, MS, AK, DE OUS: JP, SA, GB, DE, PT, SG, PL, ZA, NL, MT, ES, IN, GR, EG, FI, HK, FR, NO, DK, BE, AT, IT, CO, KW, MX, PS, QA, CY, CA, TW, LV, SE, HR, SI, MY, KR, IL, TH, AU, BR, CL, SK, CH, LB, OM, ID, PK, IE, NZ, PR, RO, MM, AR, RS, RU, PA, KE, UZ
Product codes and lots
All serial numbers, limited to cases when: The SyncVision runs the current supported software version 4.2.x, AND The secondary modality (IntraSight IVUS) runs software version 5.x. Device Identifier (DI): 00845225012434

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0885-2022
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0885-2022Class IIOngoingVoluntary: Firm initiated