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ExacTrac Robotics, sold alone as Robotic Tilt Module catalog 49720 and in a bundle as catalog 49700, for installation on

FDA device recall Z-1255-06 · posted 2006-07-27 · Terminated

Recall details

Recalling firm
Brainlab AG
Reason for recall
During ExacTrac Robotics installation on the Varian Exact Couch, the couch height position indication is re-calibrated to read out the correct positions. This re-calibration could cause the eventual failure of the vertical lift mechanism of the couch, which might result in patient injury or death.
Action taken
BrainLab issued a Product Notification Letter to the hospitals on 6/2/06 to advise the users not to lower the couch below 50 cm, and sent a second letter to the users on 6/7/06, informing them that BrainLab would remove the ExacTrac Robotics from the Exact Couch and re-calibrate the couch to restore the software limit switch. The Robotics will be re-installed once a permanent solution is available.
Root cause
Other
Status
Terminated
Product code
JAI
Quantity affected
19 devices
Distribution
Nationwide, including the states of California, Colorado, Florida, Illinois, Maryland, Michigan, Missouri, New Hampshire, New York, North Carolina, Ohio, Pennsylvania, Tennessee and Texas
Date initiated
2006-06-02
Date posted
2006-07-27
Date terminated
2008-02-24
Location
Kirchheim B. Muenchen, Germany

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TABLE TILT DEVICE (K033316)Brainlab AG2004-05-14