Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-3188-2018Class II

sterEOS workstation

EOS imaging / initiated 2018-08-01 / Terminated / root cause: software

EOS Imaging began a recall of sterEOS workstation on . FDA classified it as Class II and gives the reason as "3D projections may be incorrect when the pair of images used is a secondary capture generated from a series containing more than two images, where one of the images has been manually flipped. Projection errors may lead...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-3188-2018
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
EOS imaging
Product
sterEOS workstation
Product code
LLZ System, Image Processing, Radiological
Reason for recall
3D projections may be incorrect when the pair of images used is a secondary capture generated from a series containing more than two images, where one of the images has been manually flipped. Projection errors may lead to errors in calculation of 3D clinical parameters when adjusting the position, size and shape of the 3D objects used. Incorrect clinical parameters can be a contributing factor in incorrect clinical decisions, or sub-optimal surgical interventions.
Root cause tag
software
FDA root cause
Software design
Action
On August 1, 2018, a Field Safety Notice was issued to all impacted customers. Measures to be taken by users: EOS system and sterEOS review workstation users are requested not to apply manual symmetry to an image before saving a 2D secondary capture if more than two images are displayed in the EOS viewer mode or in 2D sterEOS. Users of the 3D sterEOS review workstation are requested to check that 3D projections associated with pelvic parameters match when a 3D image is created from a pair of images belonging to a series of more than two images. INSTRUCTIONS FOR END USERS: 1) Please read the field safety notice. 2) Follow the instructions provided in this field safety notice. 3) Please transfer this notice to whomever needs to be informed within your organization or in any organization to which the sterEOS review workstation may have been transferred. INSTRUCTIONS FOR DISTRIBUTORS: 1) Please read the field safety notice. 2) Please transfer all the documentation relating to the field safety notice to your customers in the field and keep proof of delivery of this documentation. Please regularly submit your customers' response rate to EOS imaging by email ([email protected]). EOS imaging needs this proof to monitor the evolution of corrective measures.
Quantity in commerce
17 units
Distribution
US nationwide
Product codes and lots
All software versions are impacted

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-3188-2018
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-3188-2018Class IITerminatedVoluntary: Firm initiated