Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1328-2022Class II

DigitalDiagnost C90 High Performance. radiography and fluoroscopy system

Philips Medical Systems DMC GmbH / initiated 2021-05-19 / Open, Classified / root cause: software

Philips Medical Systems DMC GmbH began a recall of DigitalDiagnost C90 High Performance. radiography and fluoroscopy system on . FDA classified it as Class II and gives the reason as "Following a system restart where the Table Height 2 (TH2) is the default setting and then switched to Wallstand VS2, operators will see an incorrect orientation of image on the first examination due to an issue in the...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as software.

Recall record

Recall number
Z-1328-2022
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Philips Medical Systems DMC GmbH
Product
DigitalDiagnost C90 High Performance. radiography and fluoroscopy system
Product code
KPR System, X-Ray, Stationary
Reason for recall
Following a system restart where the Table Height 2 (TH2) is the default setting and then switched to Wallstand VS2, operators will see an incorrect orientation of image on the first examination due to an issue in the firmware of the Wallstand VS2 board. The system will rotate the amplimat field selection by 90 degrees. The wrong amplimat field selection may cause an incorrect dose of radiation to occur. Additionally, the anatomic position markers may become mispositioned and could potentially be associated with the opposite side of the anatomy. (Updated 1/30/23) Expansion of the root cause to include incorrect amplimat field selection by 90 degrees following the first exposure using Wallstand VS2 and a subsequent system restart. Previously, this issue only occurred following a system restart where the Table Height 2 (TH2) is the default setting.
Root cause tag
software
FDA root cause
Radiation Control for Health and Safety Act
Action
Philips sent an Electronic Product Radiation Defect notification letter dated May 25, 2022 to affected customers. Philips will schedule an appointment with customers to install the software update. Philips will, without charge bring the product into compliance. Customers were instructed to complete and return the attached response form to Philips. For further information or support concerning this issue, please contact Philips Customer Care Solutions Center: 1-800-722-9377 and reference FCO71200223 for impacted DigitalDiagnost systems or FCO70600109 for impacted ProxiDiagnost systems.
Quantity in commerce
140 systems in total, (Updated 1/30/2023).
Distribution
US Nationwide Distribution
Product codes and lots
Model 712034 Serial Numbers  10001073 10001104 10001108 10001109 10001119 10001126 10001135 10001140 10001144 10001145 10001153 10001156 10001157 10001163 10001170 10001173 10001178 10001179 10001183 10001191 10001192 10001199 10001200 10001201 10001203 10001208 10001210 10001216 10001220 10001231 10001232 10001234 10001235 10001236 10001240 10001241 10001248 10001251 10001261 10001262 10001264 10001270 10001271 10001273 10001275 10001280 21861349 21861369 21861402 21861418 21861456 21861460 21861471 21861475 21861490 21861496 21861497 21861498 21861501 21861502 21861525 21861531 21861542 22860038 22860118

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1328-2022
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1325-2022Class IIOngoingFDA Mandated
Z-1326-2022Class IIOngoingFDA Mandated
Z-1327-2022Class IIOngoingFDA Mandated
Z-1328-2022Class IIOngoingFDA Mandated
Z-1329-2022Class IIOngoingFDA Mandated