ClearanceBrief
Recall Z-2459-2024 ยท LNH System, Nuclear Magnetic Resonance Imaging

GE Medical Systems, LLC

SIGNA Architect, with affected software versions: DV26.0 to DV26.3, DV27.0 to DV27.3, DV28.0 to DV28.5, DV29.0, DV29.1, DV29.2, MR30.0, MR30.1; Nuclear Magnetic Resonance Imaging System

DateAug 2, 2024 (initiated Jun 14, 2024)
StatusOpen, Classified
ReasonGE HealthCare has become aware that for certain MR systems, the system predicted B1+RMS value can exceed the B1+RMS user prescribed limit when scanning in Low SAR Mode and the following two conditions are met: 1. 2D FSE T2 FLAIR OR T2 FLAIR Propeller imaging sequence is selected, AND 2. the Optimized T2 FLAIR sequence option is turned off OR not included in the MR configuration. If this occurs, it can result in overheating of an MR conditional implant.
Root causeDevice Design
ActionGE Healthcare issue an URGENT MEDICAL DEVICE CORRECTION to its consignees via letter on 06/14/2024. The letter explained the problem with the device, safety issue, and requested the following: "Actions to be taken by Customer/User: You can continue to use your MR system by following the instructions below: To ensure that the displayed B1+RMS value on the Scan Prescription User Interface does not exceed the user prescribed limit specified in the Low SAR Mode User Interface: " If your software version includes the Optimized T2 FLAIR Sequence option, enable this option by setting the value
Quantity834 units
DistributionWorldwide distribution.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K160618Discovery MR750 3.0T, Discovery MR450 1.5T, Discovery MR750w 3.0T, Optima MR450w 1.5T
Ge Medical Systems, LLC, Jun 9, 2016
K163331Discovery MR750 3.0T; Discovery MR750w 3.0T;Discovery MR450 1.5T; Discovery MR450w 1.5T; SIGNA Architect and SIGNA Artis
Ge Medical Systems, LLC, Mar 17, 2017
K202966SIGNA Architect
Ge Healthcare (Ge Medical Systems, LLC), Nov 13, 2020