Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2280-2023Class II

NanoZoomer S360MD Slide scanner system-automated system for creating, viewing, and managing digital slides...

Hamamatsu Corp. / initiated 2023-06-06 / Open, Classified / root cause: software

Hamamatsu Corporation began a recall of NanoZoomer S360MD Slide scanner system-automated system for creating, viewing, and managing digital slides. The NanoZoomer System creates diagnostic-quality... on . FDA classified it as Class II and gives the reason as "If the wrong barcode information is recorded in the NDPi file, a pathologist may refer to the whole slide image (WSI) of a different patient". As of , the recall status on record is Open, Classified, and MDM tags the root cause as software.

Recall record

Recall number
Z-2280-2023
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Hamamatsu Corp.
Product
NanoZoomer S360MD Slide scanner system-automated system for creating, viewing, and managing digital slides. The NanoZoomer System creates diagnostic-quality digital images of glass slides containing formalin-fixed paraffin-embedded (FFPE) tissue. Catalog Number: C13220-01MD
Product code
PSY Whole Slide Imaging System
Reason for recall
If the wrong barcode information is recorded in the NDPi file, a pathologist may refer to the whole slide image (WSI) of a different patient.
Root cause tag
software
FDA root cause
Software design
Action
Hamamatsu Corporation issued Urgent: Medical Device Correction Letter via Email on 6/6/23. Letter states reason for recall, health risk and action to take: The risk of recurrence will be fully eliminated by conducting the NZAcquire software update on the user PCs either by a Field Service Engineer being on site or via a remote control. As a precautionary measure, there are two kinds of risk mitigations in place to reduce the potential serious risk. 1. There is a clear note in the NZAcquireMD Reference manual regarding the barcode information. 2. There is a warning in the system manual that the intended use of WSI generated out of the system is designed to provide information as an aid for a diagnosis among other information. 2. There is a warning in the system manual that the intended use of WSI generated out of the system is designed to provide information as an aid for a diagnosis among other information available. In other words, medical decisions should not be made exclusively based on the data from the device. Provide the contact information of the appropriate person with whom we can arrange a time to complete this service. Please provide the following information for the contact person by emailing us at: [email protected] The affected users will perform one temporary measure to the software settings
Quantity in commerce
1 unit
Distribution
NY
Product codes and lots
UDI-DI: 010458238901065911220 S/N: 90121100033

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2280-2023
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2280-2023Class IIOngoingVoluntary: Firm initiated