RADIOTERAPIC LINEAR ACCELERATORS CLINAC, CX, iX, UNIQUE and TRILOGY. Anvisa registry involved in this field action: 10405410017, 10405410012, 10405410010, 10405410001, 10405410011, 10405410016 and 10405410020 의 안전성 경고

Agência Nacional de Vigilância Sanitária (ANVISA)에 따르면, 해당 안전성 경고 는 Brazil 에서 Varian Medical Systems Inc; Varian Medical Systems Brasil 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
    1340
  • 날짜
    2013-12-12
  • 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
    According to Varian Medical Systems Brazil, this problem is not related to TrueBeam devices, occurring only in Clinac®, Trilogy®, Trilogy Tx ™, Novalis Tx ™ and Unique accelerators. The company developed a technical solution that provides rules for the gantry and rotation of Clinac®, Trilogy®, Trilogy Tx ™, Novalis Tx ™ and Unique treatment tables. In physical mode, an additional screen is provided that allows the physicist to set zone limits. In clinical mode, the remote movements of the treatment table and the position of the gantry will be checked and rotation of the gantry outside the defined zone will be prohibited. Zone rules apply to the following types of movement: Remote Auto GoTo, Remote Setup, and Remote Manual Move. Actions recommended to users: • DO NOT USE GANTRY MOVEMENTS IN THE MANUAL MODE IF THE PATIENT IS FOUND IN THE TREATMENT CUP; • Observe all movement of the equipment, directly or from the outside of the treatment room, using closed circuit monitors; • When remote automatic movements are used, users should perform pre-treatment simulation inside the dome to check for potential collisions. • Always follow all warnings in the Clinac instructions for use.
  • 원인
    Occurrence of situations in which users remotely rotate the gantry by placing it in contact with the clinac treatment table.
  • 조치
    Products will be field corrected by Varian.