Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2207-2011

Brilliance Big Bore Computed Tomography X-Ray System, Model Number: 728243. The units subject to correction...

Philips North America LLC / initiated 2011-03-07 / Terminated / root cause: software

Philips Medical Systems (Cleveland) Inc began a recall of Brilliance Big Bore Computed Tomography X-Ray System, Model Number: 728243. The units subject to correction are equipped with software version: 3.5.17030... on . The reason FDA records is "A program software error in the algorithm produces image artifacts that could possibly lead to a misdiagnosis of patients who have small metal implants". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-2207-2011
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Philips North America LLC
Product
Brilliance Big Bore Computed Tomography X-Ray System, Model Number: 728243. The units subject to correction are equipped with software version: 3.5.17030. Intended to produce cross-sectional images of the body by computer reconstruction of x-ray transmission data taken at different angles and planes.
Product code
JAK System, X-Ray, Tomography, Computed
Reason for recall
A program software error in the algorithm produces image artifacts that could possibly lead to a misdiagnosis of patients who have small metal implants.
Root cause tag
software
FDA root cause
Other
Action
A 'Field Safety Notice - Urgent - Medical Device Correction' notification was sent to the firm's customers via Certified mail on 3/8/2011. The notification letter explains the nature of the Metal Artifact Reduction/Metal Artifact Correction software error; the Brilliance CT X-Ray systems subject to correction and how to identify them; and the circumstances under which this error can occur. It also asks that the user stop running the MAR application on any of the affected Brilliance systems identified with the recalled serial numbers and software versions alluded to in the medical device correction notification. Lastly, the notification states that Philips Medical will provide a solution that will fix the issue and the notification lists contact names; telephone numbers; and E-mail addresses which the customer can contact for further information concerning this device issue, or customer support assistance.
Quantity in commerce
5 units
Distribution
Nationwide Distribution -- DC, IL, IN, MI, MO, NY, OH, OR, PA, TX, and VT.
Product codes and lots
The following Serial Numbers of the Brilliance CT Big Bore system are subject to recall/software correction: 7006, 7060, 7154, 7298, and 7349.