Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2097-2017Class II

Proton therapy system -Proteus 235 aka Proteus Plus. A medical device designed to produce and deliver a...

Ion Beam Applications S.A. / initiated 2017-04-10 / Terminated / root cause: software

Ion Beam Applications S.A. began a recall of Proton therapy system -Proteus 235 aka Proteus Plus. A medical device designed to produce and deliver a proton beam for the treatment of patients with... on . FDA classified it as Class II and gives the reason as "A PBS (Pencil Beam Scanning) irradiation may pause for different reasons. After a pause, irradiation may restart from the beginning instead of recalculating the field based on the already delivered dose". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-2097-2017
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Ion Beam Applications S.A.
Product
Proton therapy system -Proteus 235 aka Proteus Plus. 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
A PBS (Pencil Beam Scanning) irradiation may pause for different reasons. After a pause, irradiation may restart from the beginning instead of recalculating the field based on the already delivered dose.
Root cause tag
software
FDA root cause
Software design
Action
Target date for software update June 30, 2017. A Field Safety Notice was issued on 4/10/2017 describing the problem and reminding users to follow guidance in the user's manual.
Quantity in commerce
2
Distribution
FL
Product codes and lots
Serial numbers: PAT.003, PAT.006

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2097-2017
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2097-2017Class IITerminatedVoluntary: Firm initiated