Probeat with Discrete Spot Scanning System
Hitachi America, Ltd., Power Systems Division began a recall of PROBEAT WITH DISCRETE SPOT SCANNING SYSTEM Product Usage: Hitachi PROBEAT with DSSS is a medical device designed to produce and deliver a proton beam for the... on . FDA classified it as Class II and gives the reason as "At a PROBEAT III site installed in Japan, the operator of the system found that the radiation was delivered inconsistent with the treatment plan and stopped the irradiation. The irradiation control system may be...". As of , the recall status on record is Terminated, and MDM tags the root cause as design.
Recall record
- Recall number
- Z-1838-2015
- Classification
- Class II
- Status
- Terminated
- Initiated
- Posted
- Terminated
- Recalling firm
- Hitachi High-Tech America, Inc. Radiation Therapy Division
- Product
- PROBEAT WITH DISCRETE SPOT SCANNING SYSTEM Product Usage: Hitachi PROBEAT with DSSS is a medical device designed to produce and deliver a proton beam for the treatment of patients with localized tumors and other conditions susceptible to treatment by radiation.
- Product code
- LHN System, Radiation Therapy, Charged-Particle, Medical
- Reason for recall
- At a PROBEAT III site installed in Japan, the operator of the system found that the radiation was delivered inconsistent with the treatment plan and stopped the irradiation. The irradiation control system may be potentially affected when rebooting a part of the control system.
- Root cause tag
- design
- FDA root cause
- Device Design
- Action
- The recalling firm notified the one consignee about the incident that occurred in Japan on 4/7/15, then gave them an update on 4/13/15 and 4/21/15. The written notification had details for the consignee on how to prevent the device from malfunctioning. The recalling firm also had held conversations with the consignee to discuss the issue and revised work instructions via telephone conference and on site Hitachi personnel.
- Quantity in commerce
- 3
- Distribution
- Distribution in US (Texas) and Japan
- Product codes and lots
- No serial number or lot code. Each system is designed for a specific facility therefore no codes are needed for traceability
Enforcement reports
One row per recalled product line| Recall number | Class | Status | Voluntary or mandated | Report date | Classified |
|---|---|---|---|---|---|
| Z-1838-2015 | Class II | Terminated | Voluntary: Firm initiated |
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