Discovery MR450 1.5T, Nuclear Magnetic Resonance Imaging System
- Company
- Ge Healthcare, Llc
- Recall Initiated
- June 4, 2021
- Posted
- July 12, 2021
- Recall Number
- Z-2064-2021
- Quantity
- 40 units
- Firm Location
- Waukesha, WI
Reason for Recall
GE Healthcare has recently become aware of an issue on the affected products listed below where the "Patient Orientation" button may inadvertently be clicked when intending to click on the "Save RX" button. This changes the prescribed patient orientation on the system prior to running the initial 3-Plane Localizer Scan (See Figure 1 for reference to buttons.) Selecting and saving a patient orientation that does not match the patient's actual position may result in incorrectly annotated and/or flipped images.
Distribution
Worldwide distributions.
Root Cause
Software design
Action Taken
Deployment of the original customer letter to consignees in the U.S. began on June 4, 2021. Dissemination of the updated customer letter to consignees in the U.S. began on June 11, 2021. The letters discuss an issue on the affected products listed below where the Patient Orientation button may inadvertently be clicked when intending to click on the Save RX button. Users are directed to review and confirm that the actual patient orientation matches the prescribed patient orientation before initiating the scan. A correction is planned.