Safety Alert for BRAINSCAN Radiosurgery System, Anvisa registration no. 80042070001, Versions 5.2, 5.21, 5.3 and 5.31 manufactured by BrainLab GmbH, Germany and marketed in Brazil by Brainlab Ltda.

According to Agência Nacional de Vigilância Sanitária (ANVISA), this safety alert involved a device in Brazil that was produced by BrainLab AG; BrainLAB Ltda.

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
    921
  • Date
    2008-05-27
  • 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
    Imaging devices, such as CT scanners and MRI scanners, usually rely on their own reference system. The stereotactic localization process in BrainSCAN calibrates the imported image set into a standard localizer-specific reference system. BrainSCAN uses the first localized image set defined as Reference Set (except if the user has set it differently). Any additional image set must be additionally registered with the Reference Set using the image merge function. This procedure ensures that all treatment information is based on a single reference system. In the event that a set of additional images without proper recording (no localization or fusion) is selected in the active window during the printing of the Treatment Parameters, the correctness of the isocenter coordinates may be affected in the printing of the Treatment Parameters, remaining correct, however, the cursors printed by BrainSCAN on the Laser-aided patient positioning overlays or the file exported to the BrainLab Exac Trac system or the Novalis Body system. It is therefore essential that any image datasets imported from BrainScan be recorded in the initial localized data set by image merging or relocation in order to ensure that all sets of images refer to a single reference system. If you need further clarification, please contact your BrainLAB Support Representative.
  • Reason
    Importing additional sets of images without registering these images (using image fusion or where applicable, location) may result in the use of multiple reference systems for the same treatment plan within the brainscan planning system. this creates a potential conflict of the different reference systems in brainscan and may result in the selection of an incorrect record reference. to view the urgent notice of medical product, issued by the company, please visit: http://www.Anvisa.Gov.Br/tecnovigilancia/alertas/anexos_2008/alerta_921_notifica.Pdf the list of cities and states where the 15 units were marketed imported from the product, go to: http://www.Anvisa.Gov.Br/tecnovigilancia/alertas/anexos_2008/alerta_921_tabela.Pdf.
  • Action
    RECOMMENDED USER ACTIONS: 1. Ensure that all image data sets are recorded (Image Merge or re-locating) 2. Do not print and / or export a final treatment plan while there are additional sets of images without registration (unmelted). MEASURES ADOPTED BY THE COMPANY: 1. Existing BrainSCAN users who are potentially affected will receive this product notification information. 2. The BrainScan user manual will be updated to contain the appropriate warning.

Manufacturer

  • Manufacturer Parent Company (2017)
  • Source
    ANVSANVISA