iGUIDE System, for patient positioning, with assistance of a 30 Tracking System in a radiotherapy environment
Elekta, Inc. began a recall of iGUIDE System, for patient positioning, with assistance of a 30 Tracking System in a radiotherapy environment on . FDA classified it as Class II and gives the reason as "If by mistake the initial pre-treatment imaging was performed BEFORE the HexaPOD was moved to the DRIVE (*START) position, iGUIDE offers the possibility to branch into a specific catch-up workflow, which was implemented...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.
Recall record
- Recall number
- Z-1705-2016
- Classification
- Class II
- Status
- Terminated
- Initiated
- Posted
- Terminated
- Recalling firm
- Elekta Limited
- Product
- iGUIDE System, for patient positioning, with assistance of a 30 Tracking System in a radiotherapy environment.
- Product code
- IYE Accelerator, Linear, Medical
- Reason for recall
- If by mistake the initial pre-treatment imaging was performed BEFORE the HexaPOD was moved to the DRIVE (*START) position, iGUIDE offers the possibility to branch into a specific catch-up workflow, which was implemented to use the initial scan data.
- Root cause tag
- software
- FDA root cause
- Software design
- Action
- Elekta sent an Important Field Safety Notice that was distributed to all affected customers on May 12, 2016. The notice informs end users about the problem and the potential clinical impact. It also gives a recommendation how the risk can be mitigated. The notice also advises the customer that a patch will be released that will introduce a patch that avoids an inaccurate position and thus eliminates an unsafe situation. Corrective Action #2: Permanent Solution Software Upgrade A software patch will be released that will correct the behavior of the iGUIDE software. The target release date for this patch is January 2017. Service teams will have 6 months from the date of release to correct all affected devices in the field. For further questions, call (770) 300-9725.
- Quantity in commerce
- 20
- Distribution
- IL, LA, Austria, Australia, Botswana, Germany, Denmark, France, India, Japan
- Product codes and lots
- Software iGUIDE 2.1 and 2.2
Enforcement reports
One row per recalled product line| Recall number | Class | Status | Voluntary or mandated | Report date | Classified |
|---|---|---|---|---|---|
| Z-1705-2016 | Class II | Terminated | Voluntary: Firm initiated |
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