Retiro De Equipo (Recall) de ExacTrac (Image guided radiation treatment therapy patient positioning system)

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
  • ID del evento
  • Clase de Riesgo del Evento
    Class I
  • Fecha de inicio del evento
  • País del evento
  • Fuente del evento
  • 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
    When using a specific plan update workflow in combination with a non-brainlab treatment planning system (tps), there is a possibility in exactrac 5.X to generate an unintended blend of two initially separate plans of the same patient. if the anomaly occurs, the information displayed by exactrac under “external name” and “dicom patient coordinates” might not be correctly related to the information simultaneously displayed within the “image set reconstruction” picture and under “brainlab coordinates.” such a display of inconsistent positioning information might mislead the user when selecting a treatment plan / isocenter in exactrac for patient positioning. if not detected by the user, this might result in a patient and treatment target position at the linear accelerator that is different than intended. as a consequence, the treatment dose might be delivered to a region different from the intended target region.
  • Acción
    Brainlab is providing users with work around instructions and is implementing a permanent software fix to correct the problem.


  • Modelo / Serial
    ExacTrac (Image guided radiation treatment therapy patient positioning system)Version numbers 5.0, 5.0.1, 5.0.2 and 5.5, 5.5.1, 5.5.2 ARTG Number: 121226
  • Manufacturer