Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0305-2012

Elekta Synergy XVI 4.5

Elekta Limited / initiated 2011-03-09 / Terminated / root cause: software

Elekta, Inc. began a recall of Elekta Synergy XVI 4.5 Product Usage: Radiation therapy treatment of malignant neoplastic diseases, as determined by a licensed medical practitioner on . The reason FDA records is "If "Confirm" or "Unconfirm" settings are clicked during the "Terminated Checking" phase of treatment delivery, Desktop Pro cancels the loaded beam and sets the Beam MUs to zero. Desktop Pro then sends the delivered MUs...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-0305-2012
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Elekta Limited
Product
Elekta Synergy XVI 4.5 Product Usage: Radiation therapy treatment of malignant neoplastic diseases, as determined by a licensed medical practitioner.
Product code
IYE Accelerator, Linear, Medical
Reason for recall
If "Confirm" or "Unconfirm" settings are clicked during the "Terminated Checking" phase of treatment delivery, Desktop Pro cancels the loaded beam and sets the Beam MUs to zero. Desktop Pro then sends the delivered MUs to MOSAIQ a a zero value.
Root cause tag
software
FDA root cause
Software design
Action
Elekta sent an IMPORTANT NOTICE letter dated March 9, 2011 to affected customers. The notice identified the product, the problem, and the corrective action to be taken by the customer. The notice advise all customers to follow any instructions or recommendations covered in the Notice. For questions call +44(0)1293 654200.
Quantity in commerce
56
Distribution
Nationwide Distribution (USA) including the states of: AZ, CA, GA, IL, LA, MD, MA, MI, MN, NJ, NY, NC, OH, PA, TN, VA, WI and Puerto Rico
Product codes and lots
152019, 152448, 151076, 151954, 152454, 152117, 152452, 152393, 152394, 151942, 152163, 151955, 152176, 152222, 151931, 152388, 151141, 152365, 152303, 152358, 152353, 152359, 152352, 152362, 152305, 152468, 152481, 152469, 151812, 152432, 151260, 151952, 152370, 151396, 152301, 152248, 152425, 151155, 151156, 151157, 151412, 105984, 152307, 152308. 151443, 151545, 151628, 152207, 152271, 152373, 152371, 151080, 152211, 152158, 152392, 152331