XiO versions 4.50 and higher (Radiation therapy treatment planning system) 의 리콜

Department of Health, Therapeutic Goods Administration에 따르면, 해당 리콜 는 Australia 에서 Elekta Pty Ltd 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-2013-RN-01278-1
  • 사례 위험등급
    Class I
  • 사례 시작날짜
    2013-11-29
  • 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
    When computing the effective depth (with bolus) to the weight point during treatment planning, xio could use the bolus density for a particular segment of the weight fan when it should be using the ct density. if the ct density is different than the bolus density, the effective depth will be incorrect which will lead to incorrect dose. the problem occurs when the computation of the bolus polygon incorrectly invades the patient contour and overlaps an area where the ct density is much different than bolus density. when the dose is computed along each fanline/depthline, an area of bolus-patient overlap is detected, the incorrect density could be assigned. there is a remote probability of a mistreatment resulting in serious injury.
  • 조치
    Elekta is advising users that if all fractions are bolused, a workaround would be to scan the patient with the bolus in place. The incorrect assignment of density to areas of bolus-patient overlap was introduced in XiO Release 4.50.00 and will be resolved in Patch Release 4.80.03 and release 5.00.01. Patch Release 4.80.03 is now available (ie, Jan 2014) and release 5.00.01 is expected to be available by March 2014. This action has been closed-out on 11/02/2016.

Device

  • 모델명 / 제조번호(시리얼번호)
    XiO versions 4.50 and higher (Radiation therapy treatment planning system)ARTG Number: 99769
  • Manufacturer

Manufacturer