ClearanceBrief
Recall Z-2008-2023 ยท JAK System, X-Ray, Tomography, Computed

Covidien, LLC

Medtronic ILLUMISITE Platform Console, Model Number ILS-1000-CS

DateJun 26, 2023 (initiated May 22, 2023)
StatusOpen, Classified
ReasonSingle ILLUMISITE Platform Console was converted from a 220-240VAC model to a 120VAC configuration using a non-supplied power cord and non-supplied fuses in the field by Medtronic Field Service Engineer.
Root causeProcess control
ActionCovidien notified the single consignee via letter on 05/18/2023. The consignee was instructed to quarantine and return affected product, forward the notification to those who need to be aware within the organization and to any location which the device has been transferred and complete and return the Customer Confirmation Form.
Quantity1 unit
DistributionInternational distribution in the country of Taiwan.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K191394ILLUMISITE Platform
Covidien, LLC, Aug 7, 2019