Alerta De Seguridad para HIGH ENERGY RADIOTHERAPIC LINEAR ACCELERATOR CLINAC. Models: 21EX, 23EX, 2100C, 2100C / D, 2300C / D, iX, CX, NOVALIS, Tx, TRILOGY, TRILOGY TX. Anvisa Registry: 10405410010, 10405410016, 10405410017, 10405410011 and 10405410012.

Según Agência Nacional de Vigilância Sanitária (ANVISA), este evento ( alerta de seguridad ) involucró a un dispositivo médico en Brazil que fue producido por Varian Medical Systems INC; Varian Medical Systems Brasil..

¿Qué es esto?

Las alertas proporcionan información importante y recomendaciones sobre los productos. Aunque se haya emitido una alerta, esto no significa necesariamente que el producto se considera peligroso. Las alertas de seguridad, dirigidas a trabajadores de la salud y a usuarios, pueden incluir retiro de equipos. Pueden ser escritas por los fabricantes, pero también por funcionarios del área de salud.

Más información acerca de la data acá
  • Tipo de evento
    Safety alert
  • ID del evento
    1410
  • Fecha
    2014-08-11
  • País del evento
  • Fuente del evento
    ANVISA
  • URL de la fuente del evento
  • Notas / Alertas
    Brazilian data is current through June 2018. All of the data comes from Anvisa, 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 data from the U.S. and Brazil.
  • Notas adicionales en la data
    The action recommended by the manufacturer is palliative and the company informed that a software fix is ​​being developed, but has not determined the deadline for its completion. See details of the field action in the Varian alert message, available at http://portal.anvisa.gov.br/wps/wcm/connect/09468c004510a13a938db7c2afb947e8/Messagem+de+Alerta.pdf?MOD=AJPERES #### Update (10/16/2014): The company reported that the field correction is planned for October 2015. #### Updated 10/25/2017, the company submitted a monitoring report informing the recommendation in the notice of security check of the dosimetry symmetry of the equipment with an extra security system called Yield Interlock, registration 10405410032.
  • Causa
    Unexpected downward trend in beam output on linear accelerators c-series [he] for 6mv, when the photon treatment mode is activated.
  • Acción
    Users should implement a daily verification of the constancy of the output rate of the photon beams, as recommended. It is important that these daily checks include all 6MV [6SRS, 6FFF and 6X] beams. Users should be aware of any sudden decrease in dose output greater than or equal to 3% per day or greater or equal to 6% per week. See detailed information at http://portal.anvisa.gov.br/wps/wcm/connect/09468c004510a13a938db7c2afb947e8/Messagem+de+Alerta.pdf?MOD=AJPERES

Manufacturer