Medical Device
Manufacturing
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Z-2157-2013Class II

DMLC IV-ERGO - Beam shaping block for Radiation Therapy

Elekta Limited / initiated 2013-08-15 / Terminated / root cause: design

Elekta, Inc. began a recall of DMLC IV-ERGO - Beam shaping block for Radiation Therapy on . FDA classified it as Class II and gives the reason as "Clinical mistreatment may occur when there are errors in the clinical workflow, or settings are incorrect". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-2157-2013
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Elekta Limited
Product
DMLC IV-ERGO - Beam shaping block for Radiation Therapy.
Product code
IXI Block, Beam-Shaping, Radiation Therapy
Reason for recall
Clinical mistreatment may occur when there are errors in the clinical workflow, or settings are incorrect.
Root cause tag
design
FDA root cause
Device Design
Action
Important Field Safety Notices 200 01 406 030 (Changes to your system to improve the safe operation of DMLC) and 200 01 602 031 (Changes to your system to improve the safe operation of 3DLINE DMLC) letters were sent to customers on 8/15/2013 advising them of the issue and recommendations to resolve either by upgrading their system or to discontinue a clinical use of the device.
Quantity in commerce
31
Distribution
Nationwide distribution: AL, CT, FL, GA, IA, MS, MO, NJ, NY, ND, OH, OK, PA, RI, TX, VA and Puerto Rico.
Product codes and lots
EM-042, EM7-004, EM-046, EM-060, EM-047, EM-029, EM7-003, EM7-002, EM7-008, EM-062, EM-063, EM3-004, 116001, 116012, 116044, 116055, 116014, 116052, 116023, 116056, 116053, 116043, 116047, 116051, 116122, 116068, 116013, 116046

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2157-2013
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2157-2013Class IITerminatedVoluntary: Firm initiated