ATAMA SYSTEM
Received Jan 11, 2013 · Event occurred Nov 17, 2012
Report 3005840757-2013-00002 · MDR key 2959516
Device
Generic name
Coil, Magnetic Resonance, Specialty
Manufacturer
Monteris Medical Inc.Model number
AL102-SICatalog number
AL102-SI
Product problems
- Device Displays Incorrect Message
Patient
Not reported
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
(B)(4) SOFTWARE GENERATED ERRORS DURING THERMOMETRY MONITORING THAT PREVENTED TREATMENT. THE ERROR CODE: NOISY IMAGE DETECTED D EXCEEDS THRESHOLD WAS PERSISTENT ACROSS THE ATTEMPTED TREATMENT, AND WAS NOT RESOLVED UNTIL A NEW TRAJECTORY WAS USED. THE INITIAL TRAJECTORY WAS A LATERAL TRAJECTORY, HOWEVER, THE MONITORING PLANES WERE COMPLETELY INSIDE BRAIN TISSUE AND NO IMMEDIATE CAUSE COULD BE DETERMINED. UPLOADED THE TREATMENT PROFILES FOR DEVELOPMENT REVIEW.
Additional Manufacturer Narrative
THE ATAMA COIL IS CONSIDERED CAPITAL EQUIPMENT, AND IS THEREFORE REUSABLE. INITIAL REPORT DID NOT INDICATE THAT A DEVICE MALFUNCTION HAD OCCURRED, ONLY THAT SOFTWARE GENERATED ERRORS. INDEPENDENT OF THIS FACT, THE CASE WAS SUCCESSFULLY COMPLETED. UPON INSPECTION OF THE ATAMA COIL AT THE HOSPITAL BY MONTERIS PERSONNEL ON (B)(4) 2012, IT WAS FOUND THAT THE COIL WAS NOT OPERATING PROPERLY. THE MALFUNCTIONING COIL WAS REMOVED AND REPLACED. THE MALFUNCTIONING COIL IS TO BE RETURNED TO MONTERIS FOR ANALYSIS. A FOLLOW-UP REPORT WILL BE PROVIDED AT THAT TIME.
Additional Manufacturer Narrative
THE ATAMA COIL IS CONSIDERED CAPITAL EQUIPMENT, AND IS THEREFORE REUSABLE. INITIAL REPORT DID NOT INDICATE THAT A DEVICE MALFUNCTION HAD OCCURRED, ONLY THAT SOFTWARE GENERATED ERRORS. INDEPENDENT OF THIS FACT, THE CASE WAS SUCCESSFULLY COMPLETED. UPON INSPECTION OF THE ATAMA COIL AT THE HOSPITAL BY MONTERIS PERSONNEL ON (B)(4) 2012, IT WAS FOUND THAT THE COIL WAS NOT OPERATING PROPERLY. THE MALFUNCTIONING COIL WAS REMOVED AND REPLACED. THE MALFUNCTIONING COIL IS TO BE RETURNED TO MONTERIS FOR ANALYSIS. A FOLLOW-UP REPORT WILL BE PROVIDED AT THAT TIME.
Remedial action
- Replace