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Recall Observatory FDA recall evidence

Device product

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

Z-0163-2020

June 26, 2019

Class II

Product summary

Firm
Deerfield Imaging, Inc.
Event
Event 83278
Status
Terminated
Classification
Class II
Quantity
3 units
Official record key
device-enforcement:Z-0163-2020

Official wording

Reason: 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.

Code information: HFD Serial Number Drive Knob Serial Number 10002481 10003305 10002351 10005723 10004247 10002448

Distribution pattern: TN, NH, FL

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    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.