Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0307-2012

Elekta Leksell Gamma Plan

Elekta Limited / initiated 2011-06-23 / Terminated / root cause: labeling and UDI

Elekta, Inc. began a recall of Elekta Leksell Gamma Plan Product Usage: Gamma Plan is a computer based system designed for Gamma Knife treatment planning on . The reason FDA records is "There is a risk that the user may interpret the instructions in the manual too literally, and adjust the TMR 10 dose description to obtain an ETCPD that matches previous clinical prescriptions, which in turn could lead...". As of , the recall status on record is Terminated, and MDM tags the root cause as labeling and UDI.

Recall record

Recall number
Z-0307-2012
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Elekta Limited
Product
Elekta Leksell Gamma Plan Product Usage: Gamma Plan is a computer based system designed for Gamma Knife treatment planning.
Product code
IWB System, Radiation Therapy, Radionuclide
Reason for recall
There is a risk that the user may interpret the instructions in the manual too literally, and adjust the TMR 10 dose description to obtain an ETCPD that matches previous clinical prescriptions, which in turn could lead to a prescription dose that deviates a few percent from the intended dose.
Root cause tag
labeling and UDI
FDA root cause
Labeling False and Misleading
Action
Elekta sent an IMPORTANT NOTICE letter dated June 23, 2011 to affected customers. The notice identified the product, problem, and corrective actions to be taken by the user. The letter advise all customers to follow any instructions or recommendations covered in the Notice. The letter states that Elekta is working on a new software version and customers will receive the future version when released. For questions contact your local Elekta representative.
Quantity in commerce
2
Distribution
Nationwide Distribution (USA) - including the states of: NM and WA
Product codes and lots
6107 and 6115