Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0603-2025Class II

GE Healthcare Revolution ACE, Model number 6670000-3; X-ray/computed tomography systems

GE Healthcare (China) Co., Ltd. / initiated 2024-11-05 / Open, Classified / root cause: design

GE Healthcare (China) Co., Ltd. began a recall of GE Healthcare Revolution ACE, Model number 6670000-3; X-ray/computed tomography systems on . FDA classified it as Class II and gives the reason as "GE HealthCare has become aware of a potential issue on certain Discovery, Optima, Revolution series CT systems, and certain operator console upgrades that can result in rotated CT images. Particularly with helical...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as design.

Recall record

Recall number
Z-0603-2025
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
GE Healthcare (China) Co., Ltd.
Product
GE Healthcare Revolution ACE, Model number 6670000-3; X-ray/computed tomography systems
Product code
JAK System, X-Ray, Tomography, Computed
Reason for recall
GE HealthCare has become aware of a potential issue on certain Discovery, Optima, Revolution series CT systems, and certain operator console upgrades that can result in rotated CT images. Particularly with helical, cine, and cardiac (if applicable) scan modes, after the first image of an exam, each subsequent image can be rotated by an increasing amount. The amount of progressive image rotation is dependent on the gantry speed and the duration of the scan. The final image in the exam can be rotated up to a maximum of ~56 degrees. The entire anatomy rotates as a whole by equal degrees, without distortion, and the anatomical positioning and z-axis of the images remains correct. Small degrees of image rotation might not be noticed. If image rotation is noticed and necessitates a rescan of the patient, the same image rotation will reoccur.
Root cause tag
design
FDA root cause
Component design/selection
Action
GE HealthCare issued an URGENT MEDICAL DEVICE notice to its consignees on 11/05/2024 via mailing using a traceable means. The notice explained the issue, potential safety issue, and requested the following actions be taken: " You can continue to use your system. When utilizing helical, cine, and cardiac scan modes, review the image data set for any potential rotation. When using these modes during interventional procedures or radiation therapy planning, adhere to standard clinical quality checks and workflows. If image rotation is detected, consult with the physician to determine whether a rescan is necessary or if the images need to be corrected during post-processing to ensure accurate interpretation and planning. Please ensure all potential users in your facility are made aware of this safety notification and the recommended actions." A GE HealthCare representative will contact the consignee to arrange for the correction. For questions or concerns: please contact GE HealthCare Service at 1-800-437-1171 or your local Service Representative.
Quantity in commerce
5 units
Distribution
Worldwide distribution.
Product codes and lots
UDI/DI 00840682146159, Serial/Sales Order Numbers: CBDAG2400021HM, CBDAG2400023HM, CBDAG2400024HM, CBDAG2400020HM, CBDAG2400022HM

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0603-2025
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0600-2025Class IIOngoingVoluntary: Firm initiated
Z-0601-2025Class IIOngoingVoluntary: Firm initiated
Z-0602-2025Class IIOngoingVoluntary: Firm initiated
Z-0603-2025Class IIOngoingVoluntary: Firm initiated
Z-0604-2025Class IIOngoingVoluntary: Firm initiated
Z-0605-2025Class IIOngoingVoluntary: Firm initiated
Z-0606-2025Class IIOngoingVoluntary: Firm initiated
Z-0607-2025Class IIOngoingVoluntary: Firm initiated
Z-0608-2025Class IIOngoingVoluntary: Firm initiated
Z-0609-2025Class IIOngoingVoluntary: Firm initiated
Z-0610-2025Class IIOngoingVoluntary: Firm initiated
Z-0611-2025Class IIOngoingVoluntary: Firm initiated
Z-0612-2025Class IIOngoingVoluntary: Firm initiated
Z-0613-2025Class IIOngoingVoluntary: Firm initiated
Z-0614-2025Class IIOngoingVoluntary: Firm initiated
Z-0615-2025Class IIOngoingVoluntary: Firm initiated
Z-0616-2025Class IIOngoingVoluntary: Firm initiated