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
This recall is currently active, issued August 1, 2023. It was issued by Hamamatsu Corporation.
- Company
- Hamamatsu Corporation
- Recall Initiated
- June 6, 2023
- Posted
- August 1, 2023
- Recall Number
- Z-2280-2023
- Quantity
- 1 unit
- Firm Location
- Bridgewater, NJ
- Official Source
- View on FDA website ↗
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.
Distribution
NY
Lot / Code Info
UDI-DI: 010458238901065911220 S/N: 90121100033
Root Cause
Software design
Action Taken
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: nanozoomerqanotifications@hamamatsu.com The affected users will perform one temporary measure to the software settings