Alerta De Seguridad para M3 MULTIMEDIA MICRO COLLECTOR. Anvisa Registry n ° 80042070017.

Según Agência Nacional de Vigilância Sanitária (ANVISA), este evento ( alerta de seguridad ) involucró a un dispositivo médico en Brazil que fue producido por Brainlab Ltda; Brailab AG.

¿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
    1201
  • Fecha
    2012-11-16
  • 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
    According to the company Brainlab Ltda, treatment plans for the M3 MICRO MULTILINE COLLECTOR typically contain pairs of closed blades and ideally no dose should be administered through the small space remaining between the tips of the enclosed blades of the equipment. However, according to the company a small leak is technically unavoidable, unless this blade gap is covered by the linear accelerator collimator (primary collimators). Therefore, to avoid administering a dose to the patient with undesired radiation leakage, it is essential that the space between the pairs of closed blades of the M3 is always completely protected by the primary collimators of the linear accelerator. If the leaked dose exceeds the clinically desirable limits for a particular treatment plan, severe injury to the patient may result. According to the company, no adverse events related to the problem in question have been reported so far. Anvisa's Technovigilance Unit is monitoring this case.
  • Causa
    Possibility of a small leakage of radiation through the gap between the slides of the equipment, during the application of the therapy.
  • Acción
    Brainlab said it had already communicated the clients involved about the problem by letter. The corrective action of the company consists of an update of the instructions of use of the equipment, alerting to the use of the equipment in its correct configuration. If you have the equipment in your inventory, make sure that the linear accelerator primary collimators always fully cover the clearance of the closed blades of the Multi-Collimator M3 Multi Collimator. Read also the alert message published by the company, available at http://portal.anvisa.gov.br/wps/wcm/connect/7616c6004d79898d903ef1c116238c3b/16+de+novembro+Messagem+de+alerta.pdf?MOD=AJPERES .

Manufacturer

  • Empresa matriz del fabricante (2017)
  • Source
    ANVSANVISA