Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1574-2015Class II

MHI-TM2000 Linear Accelerator System (Software Version 3.5.0 and 3.5.1)

Mitsubishi Heavy Industries, Ltd., Hiroshima Machinery Work / initiated 2015-04-17 / Terminated / root cause: software

MITSUBISHI HEAVY INDUSTRIES, LTD., HIROSHIMA MACHINERY WORK began a recall of MHI-TM2000 Linear Accelerator System (Software Version 3.5.0 and 3.5.1) on . FDA classified it as Class II and gives the reason as "The operator console allows users to deliver therapeutic radiation to patients even though a specific communication error relevant to imaging conditions has occurred. In addition, the treatment record (the delivered...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1574-2015
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Mitsubishi Heavy Industries, Ltd., Hiroshima Machinery Work
Product
MHI-TM2000 Linear Accelerator System (Software Version 3.5.0 and 3.5.1)
Product code
IYE Accelerator, Linear, Medical
Reason for recall
The operator console allows users to deliver therapeutic radiation to patients even though a specific communication error relevant to imaging conditions has occurred. In addition, the treatment record (the delivered radiation record) cannot be saved.
Root cause tag
software
FDA root cause
Software design (manufacturing process)
Action
MITSUBISHI HEAVY INDUSTRIES, LTD. has issued a Safety Alert for the MHI-TM2000 Linear Accelerator System dated April 10, 2015, due to a software issue. Customers were advised not to deliver therapeutic X-ray if popup warning message show is displayed during treatment. Instructions were provided if therapeutic radiation is delivered during popup warning. Customers with questions should contact the Customer Service Representative by calling 1-800-597-5911, Monday through Friday or email: [email protected]. **CAPA** Correction software for this issue has a tentative availability date of June 2015. Estimated software update completion date would be end of October 2015.
Quantity in commerce
11 units total
Distribution
Worldwide Distribution - US including FL, NY, OH, & TX, **Internationally - Belgium, Italy, Korea, France & Germany.
Product codes and lots
Serial Numbers: 201902, 201903, 202903, 202905, 203901, 203902, 203903, 203905, 203906, 203919 & 203924

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1574-2015
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1574-2015Class IITerminatedVoluntary: Firm initiated