510(K) CLEARANCES 67 ▼8RECALLS POSTED 26CLASS I 2PMA DECISIONS 40 ▼14WEEK ENDING / FDA DATA AS OF
Medical Device
Manufacturing
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Z-0437-2014Class II

SIEMENS brand ONCOR series Linear Accelerator Linac systems with component: any photon unflat beam...

Siemens Medical Solutions USA, Inc. / initiated 2013-10-23 / Terminated / root cause: design

Siemens Medical Solutions USA, Inc began a recall of SIEMENS brand ONCOR series Linear Accelerator Linac systems with component: any photon unflat beam option(Multiple X feature) in combination with the IMRT or... on . FDA classified it as Class II and gives the reason as "A safety risk regarding a potentially existing dark current radiation phenomenon on the Linear Accelerator (LINAC) in combination with IMRT or mARC (rotational IMRT) treatments using unflat (flattening filter free)...". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-0437-2014
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Siemens Medical Solutions USA, Inc.
Product
SIEMENS brand ONCOR series Linear Accelerator Linac systems with component: any photon unflat beam option(Multiple X feature) in combination with the IMRT or mARC option. A family of linear accelerator systems is to deliver X-ray photon and electron radiation for the therapeutic treatment of cancer. The ARTISTE/ONCOR systems are manufactured by: SIEMENS AG, MEDICAL SOLUTIONS, GERMANY and distributed SIEMENS Healthcare IM CR RO, CR Radiation Oncology, Martinez, CA.
Product code
IYE Accelerator, Linear, Medical
Reason for recall
A safety risk regarding a potentially existing dark current radiation phenomenon on the Linear Accelerator (LINAC) in combination with IMRT or mARC (rotational IMRT) treatments using unflat (flattening filter free) beams. In case there are many long periods of field shape changes in a treatment plan, the dose due to dark current radiation may sum up to a significant value.
Root cause tag
design
FDA root cause
Device Design
Action
Siemens sent an Urgent Medical Device Correction letter dated October 23, 2013 including the release of update instruction TH024/13/S to all affected customers. The letter identified the product, the problem, and the action to be taken by the customer.
Quantity in commerce
3 units
Distribution
Worldwide Distribution: USA (nationwide) including states of: FL, NC, NY, PA, TN, UT, and WI; and countries of: Angola, Brazil, Canada, P.R. China, Germany, India, Japan, Republic Korea, Poland, and Thailand.
Product codes and lots
Serial Numbers: 5281, 5385, 5445

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0437-2014
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0437-2014Class IITerminatedVoluntary: Firm initiated
Z-0438-2014Class IITerminatedVoluntary: Firm initiated