Print version of this report
Type of Product Medical Device
TGA Recall Reference RC-2014-RN-01225-1
Product Name/Description BrightView SPECT, BrightView X and BrightView XCT Systems

Software Versions at or below: V1.2.2 (Brightview SPECT and X) / V2.5.2 Brightview XCT)

ARTG number: 117440
Recall Action Level Hospital
Recall Action Classification Class I
Recall Action Commencement Date 27/11/2014
Responsible Entity Philips Electronics Australia Ltd
Reason/Issue Philips has identified the following anomalies that give rise to a potential hazard of unexpected contact between the detector and the patient:

1)Following a cardiac scan and when using SmartStep to set-up the camera for a Relative 180 procedure, it is possible for Detector 1 to collide with the head holder when moving from the position at which the flat panel is deployed. This issue only affects BrightView XCT systems.

2) During a patient SPECT lung acquisition, the clinical scan acquisition protocol commanded the gantry rotation to move from the 45 degree to the 90 degree position. However, in the middle of a clinical scan acquisition, the detector heads moved away from the patient (centre of rotation) in an uncommanded motion and subsequently the gantry unexpectedly rotated to the 240 degree position. The movement from 90 degree to the 240 degree may take approximately 7 seconds.

There have been no reports of patient injury due to either of these issues to date.
Recall Action Recall for Product Correction
Recall Action Instructions Philips is advising the customer/user to perform the work-around identified in the customer communication prior to the implementation of the permanent correction, to avoid contact between the detector and the head holder. Also, they are advised to monitor the patient during all system motions and to know locations of the multiple E-Stop button(s) to halt all system motions, if required. The correction will consist of the installation of BrightView Family software version 1.2.4/2.5.4.
Contact Information 1800 251 400 - Philips Customer Care Centre