NOTE: THIS MESSAGE IS BEING SENT TO UPDATE INFORMATION FROM AN ALREADY ALREADY PUBLISHED. IMPLANTABLE MARCAPASSO ENRHYTHM P1501DR MEDTRONIC. Registro Anvisa 10339190253. Check affected models at: http://portal.anvisa.gov.br/wps/wcm/connect/9af3ad80418176aeab4cfbc509124714/Produtosasafedados.pdf?MOD=AJPERES. 의 안전성 경고

Agência Nacional de Vigilância Sanitária (ANVISA)에 따르면, 해당 안전성 경고 는 Brazil 에서 Medtronic Comercial 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
    1005
  • 날짜
    2010-02-22
  • 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
    Medtronic Inc. (headquarters of Medtronic Commercial Ltd.) received 62 reports - out of a total of approximately 110,000 devices worldwide - which indicated that the device interrogation battery voltage was below the stipulated voltage for the device to display the notification of selective substitution indicator (ERI). The measurement of a lower voltage has provoked some questions and, in some situations, it was reason to explain the pacemaker. If the previously mentioned software update is not performed, there is a potential risk of loss of function in a small percentage of devices (less than 0.08% six years after implantation). According to the company, this risk should be eliminated with the software update. Medtronic also identified a faster (than battery) voltage reduction due to the lithium depletion at a slightly faster rate. This subject has not yet been observed in the clinical setting and is not expected to occur within the next 4 years (9 years after implantation). If the previously mentioned software update is not performed, the potential risk of therapeutic loss during or near the ERI / RRT warning may be verified in a reduced number of devices. According to the company, updating the software will eliminate this risk, as it will change the ERI / RRT warning criteria. #### UPDATE (01/11/2011): The company reported (file # 902973 / 11-7) that the action was finalized at the end of 2010 (software update) and presented updated patient control recommendations . Such information can be viewed at http://portal.anvisa.gov.br/wps/wcm/connect/acaf128048ee03f3980c9c466b74119d/Alerta_1005_Orientacoes_Complementares.pdf?MOD=AJPERES.
  • 원인
    Possibility of the equipment battery losing its charge ahead of schedule.
  • 조치
    The company said it is providing an upgrade of the equipment software to address the reported problem. Once the new software version is available, affected customers will be notified by the company for guidance on how to proceed. It is recommended that physicians continue to support the replacement of the device in the ERI / RRT notice. At this time, no further action is recommended, reprogramming or changing the frequency of follow-up.

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