Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0163-2020Class II

IMRIS MR/X-ray head fixation device, Model HFD200

IMRIS Imaging, Inc. / initiated 2019-06-26 / Terminated / root cause: design

Deerfield Imaging, Inc. began a recall of IMRIS MR/X-ray head fixation device, Model HFD200 on . FDA classified it as Class II and gives the reason as "Breaking of the HFD200 Drive Knob force indicator due to over-torqueing of the drive knob beyond the maximum allowable pinning force specification may result in the clinical staff unknowingly pinning the patient's skull...". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-0163-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
IMRIS Imaging, Inc.
Product
IMRIS MR/X-ray head fixation device, Model HFD200
Product code
HBL Holder, Head, Neurosurgical (Skull Clamp)
Reason for recall
Breaking of the HFD200 Drive Knob force indicator due to over-torqueing of the drive knob beyond the maximum allowable pinning force specification may result in the clinical staff unknowingly pinning the patient's skull with insufficient force; the clinical staff unknowingly pinning the patient's skull with excessive force; or the clinical staff identifying the issue and not being able to continue with the procedure.
Root cause tag
design
FDA root cause
Device Design
Action
The firm disseminated a field safety notice on 06/26/2019 by letter. The notice explained the problem and requested that the consignee inspect the skull clamp prior to use and be aware that overtightening of the drive knob may result in failure. The drive knobs will be replaced with an updated design when available.
Quantity in commerce
3 units
Distribution
TN, NH, FL
Product codes and lots
HFD Serial Number Drive Knob Serial Number  10002481 10003305 10002351 10005723 10004247 10002448

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0163-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0163-2020Class IITerminatedVoluntary: Firm initiated