Oncentra Brachy using versions 4.5, 4.5.1 and 4.5.2 의 리콜

Department of Health, Therapeutic Goods Administration에 따르면, 해당 리콜 는 Australia 에서 Nucletron Pty Limited 에 의해 제조된 제품과 관련되어 있습니다.

이것은 무엇인가요?

의료기기에 문제가 생겼을 경우 제조사가 이를 바로잡거나 시장에서 회수하는 조치를 말한다. 회수(Recall)는 의료기기에 결함이 있거나, 건강에 위협이 되거나, 또는 결함도 있고 건강에도 위협이 될 경우에 발생한다.

데이터에 대해 더 자세히 알아보기 여기
  • 사례 유형
    Recall
  • 사례 ID
    RC-2017-RN-01069-1
  • 사례 위험등급
    Class II
  • 사례 시작날짜
    2017-08-16
  • 사례 국가
  • 사례 출처
    DHTGA
  • 사례 출처 URL
  • 비고 / 경고
    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.
  • 데이터 추가 비고
  • 원인
    Elekta has identified an issue with oncentra brachy with the default step size set in rdstore.The measured source paths for a ring-type applicator have a source step size of 2.5mm for the microselectron afterloader. when creating a plan for a ring applicator with a measured source path, the step size will be used for the entire plan. if such an applicator model is used while the default step size of the afterloader is 5.0, the step size in the ring or lunar-shaped ovoids will be incorrect. they will be shown as 2.5mm, while the afterloader will deliver at 5.0mm if the error is not detected during plan approval.If this plan is exported to the microselectron treatment control system (tcs) and delivered, the treated dwell positions in the ring will be incorrect. when loading the plan in tcs only the dwell position numbers and source step size are taken over from the oncentra brachy plan. this leads to a shift of the treated dwell positions in the ring due to the incorrect step size.
  • 조치
    Until an upgraded version of Oncentra Brachy is available, users are strongly recommended to use a default source step size of 2.5mm for microSelectron afterloaders in RDStore. If a larger default source step size is required in RDStore, a workaround is to reselect the same after loader in the Prescription dialog in the Oncentra Brachy planning module. The source step size is then forced to the correct value of 2.5mm. Users are advised to perform proper Quality Assurance for all treatment plans before delivery of the first fraction to the patient. The issue will be solved in the next version of Oncentra Brachy.

Device

  • 모델명 / 제조번호(시리얼번호)
    Oncentra Brachy using versions 4.5, 4.5.1 and 4.5.2Reference Number: FCA-NU-0004ARTG Number: 142110
  • Manufacturer

Manufacturer