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| Recall number | Class | Status | Voluntary or mandated | Report date | Classified |
|---|---|---|---|---|---|
| Z-3188-2018 | Class II | Terminated | Voluntary: Firm initiated |
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