Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0954-2024Class II

Intera Achieva 1.5T Pulsar. Model (REF) Number 781171

Philips North America LLC / initiated 2024-01-03 / Open, Classified / root cause: manufacturing process

Philips North America began a recall of Intera Achieva 1.5T Pulsar. Model (REF) Number 781171 on . FDA classified it as Class II and gives the reason as "The Quadrature Body Coil (QBC) seal adhesive may fail, creating sharp edges that may come in contact with patients. If the QBC seal becomes loose during the scanning process, the risk to the patient may include skin...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-0954-2024
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Philips North America LLC
Product
Intera Achieva 1.5T Pulsar. Model (REF) Number 781171.
Product code
LNI System, Nuclear Magnetic Resonance Spectroscopic
Reason for recall
The Quadrature Body Coil (QBC) seal adhesive may fail, creating sharp edges that may come in contact with patients. If the QBC seal becomes loose during the scanning process, the risk to the patient may include skin abrasions, bruises, lacerations, hair loss/entanglement, and tissue injury.
Root cause tag
manufacturing process
FDA root cause
Process control
Action
On January 4, 2024, the firm began notification of affected customers via URGENT Medical Device Correction letters. Customers were provided with precautions to take when using the device, including inspection of the QBC seal for separation. If the QBC seal is found to be loose, or becomes loose during a patient scan, customers should immediately stop use and contact their local Philips service representative. Customers should also ensure that all users of the device are aware of the issue and retain the letter with affected systems until a solution is installed. Philips will contact customers to schedule a time for a Field Service Engineer (FSE) to visit your site and replace your system's QBC Seal. Philips plans to start implementing corrections in Q3 2024. If you need any further information or support concerning this issue, please contact your local Philips representative: For North America, contact the Customer Care Solutions Center (1-800-722-9377). Revision B of the URGENT Medical Device Correction letter was distributed to the additional US consignees on 24-Mar-2025. It was later identified that UMDC Rev B contained three MR systems with a 70cm bore (Ingenia 1.5T: 781341, Ingenia 3.0T: 781377, Ingenia Ambition X: 782109) which were incorrectly included, as the scope of this field action is MR systems with 60cm bore. The URGENT Medical Device Correction letter was updated to Rev C to remove these systems. Revision C of the UMDC was distributed to the additional US consignees on 09-Apr-2025.
Quantity in commerce
12 US; 25 OUS
Distribution
Worldwide - US Nationwide distribution.
Product codes and lots
Model No. 781171; UDI-DI N/A. All units affected

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0954-2024
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0945-2024Class IIOngoingVoluntary: Firm initiated
Z-0946-2024Class IIOngoingVoluntary: Firm initiated
Z-0947-2024Class IIOngoingVoluntary: Firm initiated
Z-0948-2024Class IIOngoingVoluntary: Firm initiated
Z-0949-2024Class IIOngoingVoluntary: Firm initiated
Z-0950-2024Class IIOngoingVoluntary: Firm initiated
Z-0951-2024Class IIOngoingVoluntary: Firm initiated
Z-0952-2024Class IIOngoingVoluntary: Firm initiated
Z-0953-2024Class IIOngoingVoluntary: Firm initiated
Z-0954-2024Class IIOngoingVoluntary: Firm initiated
Z-0955-2024Class IIOngoingVoluntary: Firm initiated
Z-0956-2024Class IIOngoingVoluntary: Firm initiated