The Recall Desk
HighFDA (Devices)·Z-2467-2024·Announced 2024-08-14

Discovery MR450 MRI System Can Overheat Implants Under Specific Conditions

GE Discovery MR450 MRI systems with certain software versions can cause implant overheating under specific scanning conditions. 23 units worldwide require firmware updates.

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: FDA Class II recall involving potential overheating of MR conditional implants, a serious risk-of-harm scenario. No illnesses, hospitalizations, or injuries are reported in the source, making the hazard theoretical rather than demonstrated.

Plain-English summary

GE Medical Systems is recalling Discovery MR450 1.5T MRI systems with software versions DV24.0, DV25.0, DV25.1, and DV26.0 due to a potential overheating hazard affecting MR conditional implants.

The affected systems can generate higher radiofrequency (B1+RMS) energy than the user-prescribed limit when operating in Low SAR Mode under specific scanning conditions: using 2D FSE T2 FLAIR or T2 FLAIR Propeller imaging sequences with the Optimized T2 FLAIR feature disabled or not included in the system configuration.

A total of 23 units have been distributed worldwide. GE HealthCare recommends that medical facilities using affected systems review their MRI protocols and configurations, particularly for patients with MR conditional implants. Users should update to unaffected software versions and verify their T2 FLAIR sequence configurations to prevent potential implant heating during scanning.

The recalled product

Product
Discovery MR450 1.5T, with affected software versions: DV24.0, DV25.0, DV25.1, DV26.0; Nuclear Magnetic Resonance Imaging System
Manufacturer
GE Medical Systems, LLC
Hazard
  • overheating
  • sar-limit-exceeded
  • mri-implant-risk
  • software-configuration

Is your product affected?

Check your packaging against the codes below. If any of them match, the product is part of this recall.

Lot numbers (20)

  • System ID: 714957MR
  • 209225VC450
  • 858939MR4
  • 858939MR3
  • 202476MR1
  • HSS75MR450
  • HSSMAGNETF
  • 713566SMITH3
  • 713566SMITH1
  • 832522MR2
  • 920830MR450
  • 304256MR2
  • 250727MR2
  • DK1083MR06
  • FI1052MR01
  • RMUE01MR04
  • A5624132
  • D5354206
  • SA1058MR02
  • SA1011MR03

Distribution

Distribution scope not specified by the agency.