Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0464-2015Class II

AlignRT- Intended for prescription use. The system is indicated for use during simulation, setup and...

Vision Rt Inc / initiated 2014-10-15 / Terminated / root cause: software

Vision Rt Inc began a recall of AlignRT- Intended for prescription use. The system is indicated for use during simulation, setup and stereotactic radiosurgery and precision radiotherapy for... on . FDA classified it as Class II and gives the reason as "Potential failure of AlignRT to assert interlock". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-0464-2015
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Vision Rt Inc
Product
AlignRT- Intended for prescription use. The system is indicated for use during simulation, setup and stereotactic radiosurgery and precision radiotherapy for lesions, tumors and conditions anywhere in the body where radiation is indicated.
Product code
IYE Accelerator, Linear, Medical
Reason for recall
Potential failure of AlignRT to assert interlock.
Root cause tag
software
FDA root cause
Software in the Use Environment
Action
The firm, visionrt. sent an "URGENT MEDICAL DEVICE CORRECTION NOTIFICATION-URGENT FIELD SAFETY NOTICE" dated October 15, 2014 to all affected customers on 21-Oct-2014. The notice describes the product, problem and actions to be taken. The customers were informed that they did not need to return their devices; they should pass the letter to all those who need to be aware of it within their organization; promptly inform Vision RT if they believe that patient harm occurred due this issue, and complete and return the acknowledgement form via email to [email protected]. Vision RT is designing an upgrade that will resolve the issue, and will subsequently contact the customer in order to install the upgrade on their device. Should you have any queries on this letter, please do not hesitate to contact Vision RT by telephone on +44 20 83464300 (866 778-2379 from the US) or as per http://www.visionrt.com/contact/details.
Quantity in commerce
7 (Six Units distribited in the US and One in OUS.)
Distribution
Worldwide Distribution: US distribution in states of: CA, MN, TX, and UT; and internationally to: Republic of Ireland.
Product codes and lots
Affected software version:  Software versions 5.0.1738 and 5.0.1742 only.  Affected serial numbers:  248-052, 248-066, 248-088, 249-0059, 249-0133, 249-0134, 249-0139.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0464-2015
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0464-2015Class IITerminatedVoluntary: Firm initiated