510(K) CLEARANCES 67 ▼8RECALLS POSTED 26CLASS I 2PMA DECISIONS 40 ▼14WEEK ENDING / FDA DATA AS OF
Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1707-2014Class II

ExacTrac 5.5, an Image Processing System used for patient positioning for radiation therapy or radiosurgery

Brainlab, Inc. / initiated 2014-04-15 / Terminated / root cause: software

Brainlab AG began a recall of ExacTrac 5.5, an Image Processing System used for patient positioning for radiation therapy or radiosurgery on . FDA classified it as Class II and gives the reason as "When using a specific plan update workflow in combination with a non-Brainlab treatment planning system (TPS), there is a possibility in ExacTrac 5.5.5 to generate an unintended blend of two initially separate plans of...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1707-2014
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Brainlab, Inc.
Product
ExacTrac 5.5, an Image Processing System used for patient positioning for radiation therapy or radiosurgery.
Product code
IYE Accelerator, Linear, Medical
Reason for recall
When using a specific plan update workflow in combination with a non-Brainlab treatment planning system (TPS), there is a possibility in ExacTrac 5.5.5 to generate an unintended blend of two initially separate plans of the same patient.
Root cause tag
software
FDA root cause
Software design
Action
Brainlab sent a "FIELD SAFETY NOTICE / PRODUCT NOTIFICATION" letter dated March 13, 2014 was sent to all affected customers. The letter identifies the affected product, problem, and actions to be taken. The letter includes specific instructions to users that are intended to reduce the likelihood of similar events occurring when using ExacTrac software version 5.5.5. The letter further states that Brainlab will be providing a software update to all customers. Brainlab will contact all customers to arrange for the software update within the following 6 months. Customers with any questions about this issue can contact Brainlab at 800-597-5911 or via e-mail at [email protected].
Quantity in commerce
40 systems (worldwide)
Distribution
Worldwide Distribution - US Nationwide in the states of AZ, AR, CA, FL, KY, MA, NE, NY, TN, TX and the countries of Argentina, Australia, Brazil, Finland, India, Japan, Netherlands, Oman, Russia, and Taiwan
Product codes and lots
ExacTrac software version 5.5.5 is included in the following model / catalog numbers:   1) 20818B ET SOFTWARE 5.5.5;  2) 20820 ET SOFTWARE UPDATE 5.0 TO 5.5;  3) 49905D EXACTRAC COMPLETE SYSTEM UPG 3.X TO 5.5;  4) 49908C EXACTRAC SOFTWARE UPGRADE 3.X TO 5.5;  5) 49909A EXACTRAC SOFTWARE UPGRADE 4.X TO 5.5;  6) 49918 ET SOFTWARE UPDATE 5.5.X TO 5.5.5;  7) 49919 ET SOFTWARE UPDATE 5.0.X TO 5.5.5;  8) 49660A ET INFRARED SOFTWARE 5.5.5;  9) 49961 ET DATA PREP/REVIEW SYSTEM;  10) 49986 ET SYSTEM UPGRADE 3.X TO 5.5 NEW VAULT;  11) 49987 ET SYSTEM UPGRADE 4.X TO 5.5 NEW VAULT;  12) 49988 ET SYSTEM UPGRADE 4.X TO 5.5 SAME VAULT;  13) 49989 ET SYSTEM UPGRADE 5.0 TO 5.5 NEW VAULT;  14) 49990 ET SYSTEM UPGRADE 5.0 TO 5.5 SAME VAULT;  15) 49991 ET SYSTEM UPGRADE 5.5 TO 5.5 NEW VAULT

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1707-2014
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1707-2014Class IITerminatedVoluntary: Firm initiated