FDA Alert on Neurosurgical Head Holders
FDA has issued a safety alert on neurosurgical head holders based on medical device reports associated with the slippage or movement of a skull clamp before or during surgical procedures, resulting in more than 700 injuries. device used to secure the patient’s head position during surgical procedures. The system may include a head holder frame that attaches to the operating table, skull clamp, neurosurgical head hold stabilization components, skull pins and other accessories.
FDA’s review of medical literature and currently available data suggest that device slippage is not specific to any manufacturer or brand of devices. “The causes of skull clamps slipping before and/or during surgical procedures are multifactorial, and may include device performance (e.g., mechanical failure of the skull clamp), device application (e.g., issues with placement of the skull clamp and/or accessories), patient specific characteristics (e.g., thickness and bone quality of the patient’s skull) and lack of maintenance,” the alert says. “Some of these risks can be mitigated through device placement considerations, proper use and proper device maintenance.”
The alert recommends that users follow the manufacturer’s recommendations for cleaning, maintenance, and replacement schedule based on device life expectancy. It also says they should inspect the neurosurgical head holder system and all accessories before and after each use.