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    平成23年 2月 9日作成
    

    医療機器改修の概要

    (クラスII)

  1. 一般名及び販売名

  2. 一般的名称: 汎用超音波画像診断装置
    販売名  : ソノビスタ FX
    
    
  3. 対象ロット、数量及び出荷時期

  4. (1)製造番号:
    324278,324487,324279,324311,324615,324616,324927,324086,324289,324917,325064,324600,324617,324618
    324984,324544,324712,324042,324793,324184,324365,324145,324265,324861,324068,324183,324840,324683
    324684,324500,324181,324582,324044,324347,324348,324306,324207,324567,324843,324561,324416,324645
    324660,324506,325050,324972,324386,324461,324193,324367,324065,324392,324309,324867,324868,324726
    324566,324728,324030,324401,324633,324363,324657,324072,324070,324954,324869,324655,324794,324331
    324384,324118,324058,324525,324678,324706,324551,324474,324874,324524,324139,324785,324399,324763
    324218,324609,324967,324310,324813,324101,324290,324152,325034,324277,324914,324160,324855,324149
    324177,324994,324221,324626,324032,324723,324097,325020,324588,324589,324682,324542,324543,324263
    324656,324253,324661,324818,324817,324227,324420,324532,324125,324681,324129,324718,324251,324338
    324842,324330,324773,324881,324601,324748,324247,324976,324151,324899,324834,324985,324671,324529
    324699,324700,324004,324220,324553,325000,325006,324303,324352,324062,324953,324261,324232,325031
    325032,325058,324403,324237,324133,324688,324961,324222,324862,324863,324767,324316,324317,324318
    324319,324320,324447,324099,324355,324254,324255,324749,324854,324171,324897,324799,324189,324895
    324896,324667,324674,324142,325029,324267,324482,324907,324528,324996,324017,324750,324664,324481
    324668,324779,324197,324204,324262,324838,324839,324041,324830,324285,324885,324107,325022,324120
    324770,324771,324381,324095,324315,324697,324538,324918,324919,324564,324800,324751,324894,324061
    324977,324572,324570,324571,325061,324521,324446,324812,325044,325045,324211,324134,324056,324299
    324293,324433,324174,324739,324721,324052,324391,324138,324737,324380,324388,324784,324011,324780
    324410,324703,324273,325024,324132,324089,324458,324504,325054,324064,325016,325017,325060,324649
    324257,324619,324191,325035,324281,324283,324240,325055,324533,324013,324490,324413,324423,324248
    324604,324605,324606,324312,324175,325036,324209,324472,324910,324911,324286,324313,324314,324693
    324913,324893,324764,324775,324037,324272,324781,324782,324412,324276,324786,324210,324722,324823
    324889,324640,324687,324135,324467,324400,324876,324878,325049,324014,324093,324761,324762,324900
    324836,324621,324569,324701,324702,324685,324717,324835,324341,325057,324883,324520,324406,324407
    324408,324409,324832,324880,324024,324090,324978,324096,324991,324788,324789,324909,324323,324050
    324049,324825,324745,324859,324948,324159,324172,324111,324143,324792,325009,324639,324828,324873
    324223,324043,324045,324417,324507,324864,324865,324866,324586,324791,324100,324857,324015,324324
    324292,324733,324212,325028,324969,324360,324361,324019,324298,324730,324238,324246,324491,324827
    324870,324620,324847,324104,324694,324463,324890,324734,324067,324445,324665,324776,324241,324245
    324250,324891,324892,324623,324105,324858,325018,324078,324398,324686,324822,324929,324456,324783
    324964,324821,324358,324053,324741,324141,324581,324575,324161,325011,325008,324047,324483,324057
    324731,324772,324322,324328,324777,324743,324719,324860,324680,324466,324239,324735,324288,324051
    324778,324802,324115,324205,324021,324540,324199,324820,324574,324060,324302,324725,324959,324960
    324902,324648,324459,324206,324334,324598,324599,325015,324887,324217,324430,324431,324432,324270
    325043,324974,324906,324594,324455,324326,324271,324325,324982,324117,324562,324768,324573,324427
    324583,324995,324236,324824,324769,324856,324201,324102,324585,324797,324523,324928,324636,324765
    324549,324988,325062,325063,324349,325021,325014,324973,324987,325038,324597,324641,324216,324986
    324811,324501,325037,324063,324296,324368,324952,324176,324707,324630,324249,324955,324350,324915
    324428,324845,324846,324942,324632,324126,324173,324127,324871,324872,324059,325007,324038,324169
    324214,324884,324801,324837,324144,324803,324695,324716,324039,324382,324614,324908,324094,324434
    324022,324833,324608,324213,324727,324256,324814,324137,324148,324003,324028,324192,324713,324998
    324710,324496,324304,324305,324644,324901,324048,324076,324554,324321,324121,324526,324968,324091
    324997,324534,324975,324009,324724,325023,324489,324457,324663,324670,324087,324497,324166,324850
    324448,324498,324509,324510,324511,324512,324513,324514,324515,324516,324517,324518,324519,324659
    324027,324231,325056,324333,324499,324362,324819,324364,324808,324565,324669,324366,324295,324629
    324415,324666,324522,324936,324202,324552,324387,324662,324389,324390,324103,324841,324005,324568
    324844,325003,324106,324208,324738,324442,324746,324563,324300,324816,324336,324877,324266,324979
    324268,324234,324242,324252,324965,324451,324692,324422,324109,324225,324580,324591,324882,324405
    324119,324753,324747,325030,325013,324122,324983,324036,324454,324414,324084,324085,324215,324113
    324035,325040,324098,324154,324116,324774,324642,324603,324443,324226,324752,324026,324203,324054
    324112,324627,324421,324426,325027,324612,324168,324651,324613,324849,325012,324486,324075,324077
    324999,324140,324488,324185,324228,324229,324092,324790,324479,324164,324345,324346,324460,324136
    324182,324187,324186,324962,324123,324875,324679,324260,324354,324815,325052,324158,324736,324809
    324677,324287,325019,324146,324150,324371,324375,324592,324593,324595,324631,324550,324646,324555
    324888,324478,324012,324418,324545,324484,324165,324958,324031,324110,324826,324485,324852,324394
    324178,324992,324244,324195,324993,324294,324402,324194,324596,324879,324503,324464,324198,324163
    324577,324690,324578,324155,324576,324179,324625,324848,324372,324647,324676,324424,325065,325059
    324190,324924,324925,324926,324536,324376,324180,324886,324638,324147,324798,324795,324071,324243
    324635,324556,324938,324971,324922,324359,324732,324673,324444,324356,324766,324715,325026,324018
    324624,324153,324537,324468,324921,324804,324607,324711,324083,324807,325025,324492,324493,324628
    324188,324370,325041,325042,324653,324740,324916,324308,324233,324282,324558,324559,324652,324200
    324034,324114,324634,324729,324920,324495,324329,325033,324219,324980,324584,324970,324429,324989
    324425,324708,324340,324957,324351,324590,325002,324167,324494,324395,324541,324611,324343,324622
    324259,324297,324658,325048,324280,324557,324269,324475,324476,324477,324742,324610,324258,324637
    324704,324419,324373,324810,324831,324904,324327,324643,325051,324353,324411,324108,324851,324046
    325039,324760,324654,324230,324755,324714,324805,324074,324291,324301,325001,324196,324435,324436
    324157,324691,324530,324675,324705,324905,324480,324758,324759,324264,324903,324539,324709,324981
    324378,324274,324990,324806,324337,324008,324016,324437,324438,324439,324440,324441,324449,324450
    324452,324453,324130,324131,324698,325046,325047,324397,324335,324465,324224,324535,324796,324471
    324088,324527,324404,324383,324235,324547,324912,324754,324546,324128,324505,324508,324307,324787
    324956,324462,324284,324853,324040,324124,324531,324548,324829,324579,324689,324502,324720,324469
    324470,325005,324963,325004,325010,324385,324756,324396,324023,324393
    出荷台数:1004台
    出荷時期:2009年1月から2010年12月
    
    
  5. 製造販売業者等名称

  6. 製造販売業者の名称 : 持田シーメンスメディカルシステム株式会社
    製造販売業者の所在地: 東京都品川区東五反田3丁目20番14号 高輪パークタワー
    許可の種類     : 第一種医療機器製造販売業
    許可番号      : 13B1X00191
    製造所の名称:SIEMENS Ltd. Seoul
    製造所の所在地:2〜3F, 370-5, Sanddaewon-Dong Chungwon-Gu Seongnam-si Gyeonggi-do, 462-807, 
    Republic of Korea
    
    
  7. 改修理由

  8. 国内の納入先において、患者使用前の動作確認の水槽テストで、穿刺する範囲の目安である穿刺ガイドラインが
    穿刺針とずれて表示されていることが確認されました。
    製造元における調査の結果、穿刺ガイドラインを表示するためのソフトウェアの不具合であることが判明しまし
    た。
    このため、対象となるソフトウェアを搭載した機器全数に対してソフトウェアの修正を実施させていただきま
    す。
    
    
  9. 危惧される具体的な健康被害

  10. 一般的に穿刺針の位置を超音波画像で確認しながら穿刺針を進めるため、穿刺針の先端が穿刺ガイドラインと一
    致しなかった場合には、術者は容易に異常に気づくことができます。したがって重篤な健康被害が発生すること
    はないと考えます。
    なお、今までに本件による健康被害発生の報告は受けておりません。
    
    
  11. 改修開始年月日

  12. 平成23年2月09日 情報提供の開始
    
    
    
  13. 効能・効果又は用途等

  14. 超音波を用いて体内の形状、性状又は動態を可視化し、画像情報を診断のために提供します。
    
    
  15. その他

  16. 納入しました医療機関はすべて特定しており、対象機器に対して改善済のソフトウエアをインストールする改修
    を実施致します。
    
    
  17. 担当者及び連絡先

  18. 担当者 : 安全管理責任者 山崎 文義
          品質保証責任者 前田 誠
    連絡先 : 持田シーメンスメディカルシステム株式会社 CS部
    電話番号: 03-5423-8700
    FAX番号 : 03-5423-8511