Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0077-2017Class II

Varian Head Frame - Model number HHF -ALL Head Frame Posts (PN1008016 ) and Post Kits (PN1008016). The Varian...

Varian Medical Systems, Inc. / initiated 2016-09-13 / Terminated / root cause: design

Varian Medical Systems, Inc. began a recall of Varian Head Frame - Model number HHF -ALL Head Frame Posts (PN1008016 ) and Post Kits (PN1008016). The Varian Head Frame System is for use with a computed... on . FDA classified it as Class II and gives the reason as "Varian Medical Systems has received a report that a user was able to easily rotate the head frame posts when attached to the mounting cam on the metal head ring. There was no report of serious injury due to this issue". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-0077-2017
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Varian Medical Systems, Inc.
Product
Varian Head Frame - Model number HHF -ALL Head Frame Posts (PN1008016 ) and Post Kits (PN1008016). The Varian Head Frame System is for use with a computed tomography scanner to perform imaging for treatment planning and a charged particle accelerator to perform immobilization of the treatment target for stereotactic radiosurgery or radiotherapy treatments on cranial lesions, tumors and conditions where radiation treatment is indicated.
Product code
IYE Accelerator, Linear, Medical
Reason for recall
Varian Medical Systems has received a report that a user was able to easily rotate the head frame posts when attached to the mounting cam on the metal head ring. There was no report of serious injury due to this issue
Root cause tag
design
FDA root cause
Device Design
Action
Varian Medical Systems sent an Urgent Medical Device Removal letter dated September 14, 2016, to all affected sites. Each site was also contacted by telephone to advice users of the issue and request of return of the head frame posts on September 14 and 15th. Calls enabled Varian to prioritize replacement parts for those with patients scheduled in the immediate future. Recommended User Actions: 1.CEASE USE of the Varian Head Frame Assembly and QUARANTINE the Varian Head Frame Assembly and components. 2.Collect, Clean, Disinfect all Head Frame Posts [PN1008016] if used previously. 3.Contact Varian 1.888.827.4265 for Return Material Authorization number, and return all Head Frame Posts in accordance with instructions provided with the enclosed Recall Return Material Form. We sincerely apologize for any inconvenience and thank you in advance for your cooperation. If you require further clarification, please feel free to contact your local Varian Medical Systems Customer Support District or Regional Manager. This notice has been provided to the appropriate Regulatory Authorities. For further questions, please call (650) 424-6833.
Quantity in commerce
75 devices
Distribution
US Distribution and Internationally to 1 site in Canada, India and Morocco
Product codes and lots
All Head Frame Posts and Post kits

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0077-2017
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0077-2017Class IITerminatedVoluntary: Firm initiated