Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1580-2015Class II

ViewRay System, Radiation Therapy System

Viewray Systems, Inc. / initiated 2015-01-15 / Terminated / root cause: software

Viewray Incorporated began a recall of ViewRay System, Radiation Therapy System on . FDA classified it as Class II and gives the reason as "The software was not correctly using the RT (Radiation Therapy) to MR (Magnetic Resonance image) coordinate correction for non HFS (Head First Supine) patient orientations, resulting in slice mismatch error". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1580-2015
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Viewray Systems, Inc.
Product
ViewRay System, Radiation Therapy System
Product code
IYE Accelerator, Linear, Medical
Reason for recall
The software was not correctly using the RT (Radiation Therapy) to MR (Magnetic Resonance image) coordinate correction for non HFS (Head First Supine) patient orientations, resulting in slice mismatch error.
Root cause tag
software
FDA root cause
Software Design Change
Action
On January 15, 2014, ViewRay personnel discussed the investigation of the issue (slice mismatch error) with the customer. The firm advised the customer that until the issue was corrected, to not treat patients in non HFS orientations, or to use the MR acquired from the ViewRay system as the primary plan series for non HFS scans. ViewRay installed software version 3.4.5.28 on January 20 and 21, 2014, in order to prevent this slice mismatch error from occurring in any patient position.
Quantity in commerce
1
Distribution
US distribution to MO.
Product codes and lots
M/N 10000, S/N 100 only

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1580-2015
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1580-2015Class IITerminatedVoluntary: Firm initiated