AXIOM Luminos dRF Fluoroscopic X-ray System, Record No. 10234230153. Series numbers affected in Brazil: 3141; 3142; 3144; 3174; 4248; 4255 의 안전성 경고

Agência Nacional de Vigilância Sanitária (ANVISA)에 따르면, 해당 안전성 경고 는 Brazil 에서 Siemens Ltda. 에 의해 제조된 제품과 관련되어 있습니다.

이것은 무엇인가요?

안전성 경고는 의료기기 제품과 관련된 중요한 정보와 권고사항을 담고 있습니다. 물론 안전성 경고가 배포되었다고 해서 해당 제품이 무조건 안전하지 않은 제품이라는 것은 아닙니다. 보건의료업계 종사자와 의료기기 사용자들에게 배포되는 안전성 경고에는 회수(recall)도 포함될 수 있습니다. 제조사가 안전성 경고를 작성하기도 하지만, 보건당국에서 작성하는 경우도 있습니다.

데이터에 대해 더 자세히 알아보기 여기
  • 사례 유형
    Safety alert
  • 사례 ID
    1388
  • 날짜
    2014-05-12
  • 사례 국가
  • 사례 출처
    ANVISA
  • 사례 출처 URL
  • 비고 / 경고
    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.
  • 데이터 추가 비고
    The company informs that the investigation conducted has determined that the described problem has been reproduced in cases of electrostatic discharge of more than 8kV that may be caused by a person close to the control console of the equipment. Only under extremely dry air conditions combined with a highly insulated floor can unintentional movement of the equipment be caused. However, the equipment meets the ESD safety requirements, according to IEC 61000-4-2 (36.202-2 Electrostatic discharge according to basic standard (+/- 6kV contact and +/- 8kV air).) Based on research and risk mitigation conducted by the manufacturer, it was detected that the root cause was that electrostatic discharges higher than 8kV can sporadically cause disturbances to the joystick sensors and consequently cause unintentional movements, such as inclination, and the probability of occurrence was considered improbable and its moderate severity, which fits this situation as a medium risk to health.As a corrective measure, Siemens is preparing an update to the control console of the Luminos dRF equipment in order to solve this potential malfunction. was identified on 2 devices within the overall installed base.
  • 원인
    The company has detected the possibility of a malfunction under rare environmental conditions (combination of extremely dry air with highly insulated floor) in which electrostatic discharges (esd) greater than 8kv in the control console of the equipment can cause an unintended movement in the system, which can lead to an emergency situation of risk to the patient (eg tabletop, compression), to the operator or to the equipment.
  • 조치
    The company advises that in the event of an unintended movement immediately press one of the emergency red "STOP" buttons. The system will need to be restarted to return to full functionality. In addition, the customer must wait for the field staff to schedule field corrections and file the letter with the Operator's Manual.

Manufacturer