United StatesPhilips Incisive CT, CT 5300, and Incisive CT for Brazil SKD systems with Product Codes REF 728143, 728144, 728285 (software versions 5.1.0.X & 5.1.1.X) are affected; specific serial numbers and UDI-DIs are listed in the notice. The recall is for software faults that can cause unintended gantry/couch movement, WED values of zero leading to insufficient/noisy imaging, missing ECG wave files preventing cardiac reconstruction, patient orientation set to NULL causing wrong/undiagnosable images, inconsistent preview images, and an ROI bug that can prevent automatic scanning and lead to extra shots or rescans.
What's being recalled
Model: Incisive CT; Product Code (REF): (1) 728143, (2) 728144; Software Versions: 5.1.0.X & 5.1.1.X;
Model: CT 5300; Product Code (REF): 728285; Software Versions: 5.1.0.X & 5.1.1.X;
Model: Incisive CT for Brazil SKD; Product Code (REF): 728146; Software Versions: 5.1.0.X & 5.1.1.X;
Recalling firm: Philips Medical Systems, Cambridge, MA, United States.
How to identify it
1. Product Code (REF): 728143; UDI-DI: 00884838085015; Serial Numbers: 500417, 500404, 500408, 500277, 500037, 500475, 500243, 500028, 500024, 510003, 33022, 500521, 500444, 500305, 500174, 500150, 500029, 500018, 500546, 500472, 510023, 510008, 500532, 500483, 500471, 500446, 500258, 500195, 500568, 33005, 2. Product Code (REF): 728144; UDI-DI: 00884838105508; Serial Numbers: 550375, 550259, 550241, 550195, 550187, 550159, 550116, 550063, 550052, 55400406111940, 550298, 550092, 550188, 5400406113211, 550467, 550328, 550177, 550136, 34318, 550300, 550296, 550248, 550234, 34252, 34224, 34217, 34176, 34157, 34147, 34142, 34108, 550605, 550580, 550129, 550103, 550056, 500509, 34499, 34458, 34405, 34136, 550040, 550447, 550041, 550359, 550350, 34546, 34188, 550686, 550065, 550059, 550025, 500506, 34237, 550474, 550141, 550115, 34401, 552001, 34529, 34408, 34532, 34516, 34280, 34259, 34251, 34223, 34208, 34179, 34174, 34159, 34137, 34082, 34080, 34003; Product Code (REF): 728285; UDI-DI: 00884838113237; Serial Numbers: 800031, 800073, 800070, 35064, 35056, 35043, 35029, 800084, 800083, 800076, 800063, 800058, 800048, 800040, 800039, 800038, 800034, 800033, 800028, 800026, 800021, 800018, 800015, 800011, 800010, 800078, 800071, 35078, 35068, 35048, 35036, 800023, 800008, 800004, 800001, 35073, 35069, 35067, 35058, 35051, 35044, 35034, 35031, 35027, 35019, 35015, 35009, 35001, 800065, 35062, 35042, 35040, 35022, 35016, 35059, 800081, 800062, 800003, 35081, 35065, 35061, 35057, 35053, 35052, 35045, 35041, 35035, 35008, 800005, 35006, 800041, 35080, 800056, 35070, 35033, 35021, 800079, 800077, 800069, 800055, 800054, 800053, 800052, 800007, 800002, 35079, 35071, 35063, 35055, 35046, 35017, 35011, 35007, 35002, 800075, 800045, 800044, 800043, 800029, 800027, 800025, 800024, 800016, 800013, 800009, 800051, 800042, 800061, 800046, 800030, 800019, 800014, 800006, 800074, 800066, 35054, 35018, 800060, 800059, 800072, 35032, 35023, 35003, 800080, 800047, 35039, 35038, 35004…
The hazard
Issue 1: The potential for unintentional continued gantry/couch movement when a specific button series is used requiring use of manual stop. Issue 2. When performing a helical/Axial scan with ORI (Dose Right index)/ DOM (Dose Modulation), the WED (Water Equivalent Diameter) value might set itself to zero, and this may lead to an insufficient dose setting after the surview. If operator misses the insufficient dose and the WED value in User Interface and continues with the subsequent helical/Axial scans, then the obtained images will be noisy due to low dose setting. Issue 3: Due to a software failure, the ECG wave file is not saved. As a result, the cardiac offline image reconstruction fails due to the missing ECG wave file, and the user might rescan the patient. Issue 4: This issue is software fault in which the patient orientation will be changed to NULL under specific random scenarios resulting in radiation being delivered from the wrong orientation (surview scan) or in the wrong position (clinical scan) and will generate incorrect and undiagnosable surview/clinical images. Patients may be rescanned for surview and/or clinical images. Issue 5: During scanning, the preview image display is not consistent, the images are not arriving at a fixed rate, skipping images from time to time during scanning. The obtained images might not support making the clinical diagnosis and the user might decide to re-scan the patient. Issue 6: If a user presses the left and middle/right mouse buttons together or afterwards in a short time, both commands are executed and an incorrect auto ROI is created. This ROI coordinates won t be assigned as the object is empty. As a result, the threshold of contrast level will not be reached in the UI and this will prevent the system from automatically triggering the subsequent clinical scan. There is potential safety risk identified for additionally tracker shots and/or rescan of a patient when the clinical scan is not triggered. This issue only affects the manual ROI process.
What to do
Don't stop taking a prescribed medicine without talking to your doctor or pharmacist first. For other products, stop using them and ask the pharmacist, seller or maker what to do.
The notice doesn't give instructions for consumers, so this is general advice for health & beauty recalls. Check the official notice for the details.
Where it was sold
Domestic: AL, AR, CA, CT, FL, GA, IL, IN, KY, MD, MI, OH, PA, PR, TN, TX, UT, VA; International: Argentina, Australia, Austria, Brazil, Czeck Republic, Denmark, Ecuador, Finland, France, Germany, Guyana, Hong Kong, Hungary, India, Indonesia, Iran, Iraq, Ireland, Israel, Italy, Japan, Kenya, Latvia, Lebanon, Libya, Netherlands, Nicaragua, Norway, Panama, Philippines, Poland, Portugal, Reunion, Romania, South Africa, South Korea, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey, United Kingdom, U.A.E., Yemen;
The official notice
This page is a summary of the notice published by U.S. Food and Drug Administration (enforcement reports), collected from U.S. Food and Drug Administration (enforcement reports). Check the original before you act on it.
Read the official notice (opens in a new tab)