Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1002-2023Class II

Luminos Agile Max, Luminos dRF Max, and LUMINOS Lotus Max

Siemens Medical Solutions USA, Inc. / initiated 2022-12-09 / Open, Classified / root cause: manufacturing process

Siemens Medical Solutions USA, Inc began a recall of Luminos Agile Max, Luminos dRF Max, and LUMINOS Lotus Max on . FDA classified it as Class II and gives the reason as "There is potential for the footrest to detach from the patient table during use. Device intended to visualize anatomical structures by converting an Xray pattern into a visible image. The system has medical applications...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-1002-2023
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Siemens Medical Solutions USA, Inc.
Product
Luminos Agile Max, Luminos dRF Max, and LUMINOS Lotus Max
Product code
OWB Interventional Fluoroscopic X-Ray System
Reason for recall
There is potential for the footrest to detach from the patient table during use. Device intended to visualize anatomical structures by converting an Xray pattern into a visible image. The system has medical applications ranging from gastrointestinal examinations to cranial, skeletal, thoracic and lung exposures as well as examinations of the urogenital tract. The unit may also be used in emergency applications, lymphography, endoscopy, myelography, venography, arthrography, interventional radiology, digital angiography, and digital subtraction angiography (DSA). The system may be used on pediatric, adult, and bariatric patients. These devices are not for mammography examinations.
Root cause tag
manufacturing process
FDA root cause
Process control
Action
A Customer Safety Advisory Notification (CSAN) was distributed to affected consignees beginning December 9, 2022. The CSAN was distributed to inform the customers about a preventative measure to exclude any potential risk of patient injury caused by the footrest detaching from the patient table during examination. Together with the CSAN, an addendum to the operator manual is distributed containing additional details and illustrations on how to securely attach the footrest to further improve the understanding of handling the footrest. Refer to the CSAN with addendum and copies of the Instructions for Use for each reported system.
Quantity in commerce
886 units
Distribution
Worldwide distribution
Product codes and lots
All serial numbers 1) Luminos Agile Max, Material #10762472, UDI/DI: 4056869009162 2) Luminos drF Max, Material #10762471, UDI/DI: 4056869009155 3) Luminos Lotus Max, Material #11574100, UDI/DI: 4056869269331

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1002-2023
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1000-2023Class IIOngoingVoluntary: Firm initiated
Z-1001-2023Class IIOngoingVoluntary: Firm initiated
Z-1002-2023Class IIOngoingVoluntary: Firm initiated