Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1818-2022Class II

Ambra PACS, Ambra ProViewer. Software for use as a primary diagnostic and analysis tool for diagnostic images

DICOM Grid (dba Ambra Health) / initiated 2022-06-23 / Open, Classified / root cause: software

DICOM Grid, Inc. d/b/a Ambra Health began a recall of Ambra PACS, Ambra ProViewer. Software for use as a primary diagnostic and analysis tool for diagnostic images on . FDA classified it as Class II and gives the reason as "A race condition between the storage system and services database has the potential to revert edits made to patient information upon first ingestion of a study". As of , the recall status on record is Open, Classified, and MDM tags the root cause as software.

Recall record

Recall number
Z-1818-2022
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
DICOM Grid (dba Ambra Health)
Product
Ambra PACS, Ambra ProViewer. Software for use as a primary diagnostic and analysis tool for diagnostic images.
Product code
LLZ System, Image Processing, Radiological
Reason for recall
A race condition between the storage system and services database has the potential to revert edits made to patient information upon first ingestion of a study.
Root cause tag
software
FDA root cause
Software design
Action
The firm distributed an Urgent Medical Device Recall Notice dated June 23, 2022, by email to affected customers. The firm informed customers that a race condition was identified between Ambra's storage system and the serivces database which has the potential to revert edits made to patient health information upon first ingestion of a study. This could lead to a possibility that incorrect patient ifnormation is presented to the physician, which would impact the decision making in regard to patient care. Customers are asked to advise all users of the system of this issue, request a patch from Ambra to be enabled on your system, and wait until all images for a given study are ingested before manually editing patient health information in the study. Ambra's actions include the deployment of a patch that is acting as a temporary fix until a software update can be deployed to all customers, which will prevent the issue from occurring in the future.
Quantity in commerce
671 downloads
Distribution
Domestic: AR, CA, CO, CT, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, NE, NV, NH, NJ, NM, NY, NC, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WA, WI, WV, DC, & PR.
Product codes and lots
UDI-DI: AMBRHEALTHSOLUTIONS0; Software Version: 3.22.2.0 and 3.22.3.0.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1818-2022
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1818-2022Class IIOngoingVoluntary: Firm initiated