510(K) CLEARANCES 67 ▼8RECALLS POSTED 26CLASS I 2PMA DECISIONS 40 ▼14WEEK ENDING / FDA DATA AS OF
Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1705-2016Class II

iGUIDE System, for patient positioning, with assistance of a 30 Tracking System in a radiotherapy environment

Elekta Limited / initiated 2016-05-12 / Terminated / root cause: software

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
FDA enforcement reports joined to recall event Z-1705-2016
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1705-2016Class IITerminatedVoluntary: Firm initiated