Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1838-2015Class II

Probeat with Discrete Spot Scanning System

Hitachi High-Tech America, Inc. Radiation Therapy Division / initiated 2015-04-21 / Terminated / root cause: design

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
FDA enforcement reports joined to recall event Z-1838-2015
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1838-2015Class IITerminatedVoluntary: Firm initiated