Commercial Name: Cannula Kit for Recurrent Stimulation with Stimulating Probe //// Anvisa Record: 10339190172 /// Risk Class: II. Affected model (s): 8229306, 8229307, 8229308 and Lot (s) / Serial number (s) affected: attached document. 의 안전성 경고

Agência Nacional de Vigilância Sanitária (ANVISA)에 따르면, 해당 안전성 경고 는 Brazil 에서 MEDTRONIC COMERCIAL LTDA.; MEDTRONIC XOMED INC 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
    1932
  • 날짜
    2016-07-01
  • 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
    Recommendations to Users and Patients: 1) Thoroughly inspect the cannula, including the cuff, wires and distal tip to ensure that all cannula components are secure and in place; and inflate the cuff with 15-20 cc of air to check for leaks; [Be sure to remove all air before intubation]. 2) Use standard fixed (non-malleable) probes matching the maximum to the natural curve of the tube; or, if a malleable probe is used, be careful to form a gradual curve in the probe that corresponds to the maximum to the natural curve of the tube and / or to allow the probe to slide easily into and out of the cannula. 3) DO NOT bend or flex excessively the cannula or electrodes prior to or during the intubation process. 4) Lubricate the cuff with a non-paralyzing aqueous lubricant for intubation; and use a lubricated probe. #### UPDATED ON 7/24/2017, the company submitted the completion report of the field action proving the sending of the security warning to the client.
  • 원인
    In the past two years, the manufacturer has received reports of the endotracheal cannulae in which the ends of the electrode wires at the distal end of the cannula have extruded through the cannula wall, entering the cuff and / or piercing the cuff and becoming exposed. four (4) of these complaints involved serious injuries in which an extruded / protruding electrode wire penetrated the tracheal wall or vocal cord (3 reports in china); or caused cuff disinflation and required patient reintubation (1 us report).
  • 조치
    Guidance to Health Professionals (Recommendations to users and patients) /// Changing Instructions for Use. Action code FA713.

Manufacturer

  • 제조사 모회사 (2017)
  • 제조사 의견
    “If our surveillance systems identify a potential performance issue, our personnel promptly evaluate the problem, including, when appropriate, conducting root cause investigations and internal testing to assess whether the product continues to meet specifications and defined performance criteria,” Medtronic told ICIJ in a statement. “In some cases, based on this evaluation, Medtronic may determine that a recall is necessary.” The company said that it communicates with healthcare providers and/or patients and provide recommendations to address such issues. Medtronic noted that these communications can include letters, emails, calls, press releases, physician notifications and social media postings, as well as informing the FDA and other regulators of the actions.
  • Source
    ANVSANVISA