Retiro De Equipo (Recall) de BrainLab Navigation Software Spine and Trauma 3D 2.0 (intra-operative image guided stereotactic localisation system to enable precision spine and trauma surgeries)

Según Department of Health, Therapeutic Goods Administration, este evento ( retiro de equipo (recall) ) involucró a un dispositivo médico en Australia que fue producido por Brainlab Australia Pty Ltd.

¿Qué es esto?

Una corrección al equipo o acción de retiro tomada por el fabricante para abordar un problema con un dispositivo médico. Los retiros (recalls) ocurren cuando un dispositivo médico está defectuoso, cuando puede poner en riesgo la salud, o cuando simultáneamente está defectuoso y puede poner en riesgo la salud.

Más información acerca de la data acá
  • Tipo de evento
    Recall
  • ID del evento
    RC-2013-RN-01266-1
  • Clase de Riesgo del Evento
    Class I
  • Fecha de inicio del evento
    2013-11-28
  • País del evento
  • Fuente del evento
    DHTGA
  • URL de la fuente del evento
  • Notas / Alertas
    Australian data is current through July 2018. All of the data comes from the Australian Therapeutic Goods Administration, except for the categories Manufacturer Parent Company and Product Classification.
    The Parent Company and the Product Classification were added by ICIJ.
    The parent company information is based on 2017 public records. The device classification information comes from FDA’s Product Classification by Review Panel, based on matches of recall data from the U.S. and Australia.
  • Notas adicionales en la data
  • Causa
    In the ‘fluoro match registration’ function when used in combination with a digitally integrated c-arm, the software algorithm may not find an adequate match between the intraoperatively acquired 2d fluoroscopic images and the preoperative ct or other compatible 3d datasets. due to a software anomaly the intraoperative 2d fluoroscopic images are not correctly processed, causing a low contrast of the images potentially resulting in the software algorithm being unable to find a correct match between the low contrast 2d fluoroscopic images and the segmented area of the 3d dataset. alternatively, it may incorrectly match the segmented area to the spine reference x-clamp. for an incorrect match, the display of instruments by the navigation system would be shifted compared to the actual patient anatomy. if this is not detected during user verification, deviation of position information could impact clinical decisions which could lead to ineffective treatment, serious injury or patient death.
  • Acción
    Brainlab will provide a software update to affected customers with this issue resolved. As a temporary solution, until the software update has been implemented, users of the Navigation Software Spine & Trauma 3D 2.0 are advised to adhere to the workaround instructions in the customer letter. This action has been closed-out on 01/02/2016.

Device

  • Modelo / Serial
    BrainLab Navigation Software Spine and Trauma 3D 2.0 (intra-operative image guided stereotactic localisation system to enable precision spine and trauma surgeries)ARTG Number: 96517
  • Manufacturer

Manufacturer