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

Selon Department of Health, Therapeutic Goods Administration, ce/cet/cette rappel concerne un dispositif en/au/aux/à Australia qui a été fabriqué par Brainlab Australia Pty Ltd.

Qu'est-ce que c'est?

Une correction ou un retrait opéré par un fabricant afin de répondre à un problème causé par un dispositif médical. Les rappels surviennent lorsqu'un dispositif médical est défectueux, lorsqu'il pourrait poser un risque pour la santé, ou les deux à la fois.

En savoir plus sur les données ici
  • Type d'événement
    Recall
  • ID de l'événement
    RC-2013-RN-01266-1
  • Classe de risque de l'événement
    Class I
  • Date de mise en oeuvre de l'événement
    2013-11-28
  • Pays de l'événement
  • Source de l'événement
    DHTGA
  • URL de la source de l'événement
  • Notes / Alertes
    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.
  • Notes supplémentaires dans les données
  • Cause
    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.
  • Action
    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

  • Modèle / numéro de série
    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