Safety Alert for APPLICATOR SET IN TANDEM AND RING FOR BRAQUITERAPIA / GAMMAMED EQUIPMENT FOR TREATMENT BY BRAQUITERAPIA. ALL SERIAL NUMBERS. REGISTRATION N ° 10405410009.

According to Agência Nacional de Vigilância Sanitária (ANVISA), this safety alert involved a device in Brazil that was produced by Varian Medical Systems Inc. - USA. Varian Medical Systems do Brasil Ltda - Rua Carlos do Pinhal, 696 9° Andar Conj 91-92-93 Bela Vista São Paulo SP CEP:01333-000..

What is this?

Alerts provide important information and recommendations about products. Even though an alert has been issued, it does not necessarily mean a product is considered to be unsafe. Safety Alerts, addressed to health workers and users, may include recalls. They can be written by manufacturers, but also by health officials.

Learn more about the data here
  • Type of Event
    Safety alert
  • Event ID
    929
  • Date
    2008-06-19
  • Event Country
  • Event Source
    ANVISA
  • Event Source URL
  • Notes / Alerts
    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.
  • Extra notes in the data
    According to information from Varian Medical Systems of Brazil Ltda., Only one affected equipment was commercialized in Brazil. The company informed the Anvisa Technovigilance Unit that it has already contacted the hospital user of the product and provided information to assist in correcting the problem. Anvisa's Technovigilance Unit is monitoring this case.
  • Reason
    Inaccuracies in positions within the ring may result in unintended delivery of doses to the patient.
  • Action
    The user must identify and isolate the equipment under risk and notify the company that owns the product registration in Brazil (Varian Medical Systems Ltda. - Tel: (11) 3457-2655). The product manufacturer recommends that users characterize all ring applicators in order to correct the offset to each equipment stop position - so that the user can build better accuracy and reliability planning. The characterization can be done by creating a set of X-rays with the marking of the stop positions and the definition of the displacement of the planning for the treatment of the appropriate stop positions. After this procedure, the user must perform a new set of x-ray checks using the new offsets, in order to verify the correction of the stop positions.