The Recall Desk
HighFDA (Devices)·Z-1339-2022·Announced 2022-07-13

Imaging system software displays mirrored CT images during data loading

Siemens imaging systems with syngo VE20 software may display CT images mirrored horizontally and vertically when loading Toshiba data, potentially causing misinterpretation of patient positioning and inappropriate treatment.

What this means for you

Real risk of harm even if no illness or injury has been reported yet. Stop using the product and follow the agency's guidance.

Our severity reasoning: This Class II medical device recall involves a software error that creates a concrete risk of patient harm through diagnostic misinterpretation. No injuries or illnesses have been reported, but the error directly affects patient treatment decisions, making it a risk-of-harm product meeting the Score 3 (High) threshold.

Plain-English summary

Siemens Medical Solutions is recalling syngo Application software version VE20 (Material Number 10848815) installed on Artis imaging systems. This software runs on three system models: Artis pheno (Model 10849000), Artis icono biplane (Model 11327600), and Artis icono floor (Model 11327700). A total of 127 units have been distributed nationwide in the United States.

When loading computed tomography (CT) image data from Toshiba imaging systems, the recalled software can display images mirrored along the horizontal and vertical axes. This mirroring can cause medical professionals to misinterpret patient orientation and positioning, potentially resulting in inappropriate treatment. The risk persists even when the incorrect visualization is apparent to the user.

The recalled product

Product
syngo Application software VE20 (Material Number 10848815) installed on the Artis pheno and Artis icono systems as follows: (1) Artis pheno Model Number:10849000 (2) Artis icono biplane Model Number: 11327600 (3) Artis icono floor Model Number: 11327700
Manufacturer
Siemens Medical Solutions USA, Inc
Hazard
  • image-mirroring
  • diagnostic-error

Distribution

Distributed nationwide across the United States.