Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2100-2017Class II

Mobius3D

Mobius Medical Systems, LP / initiated 2015-02-23 / Terminated / root cause: software

Mobius Medical Systems, LP began a recall of Mobius3D Product Usage: Mobius3D software is used for quality assurance and treatment plan verification in radiation therapy. It calculates radiation dose... on . FDA classified it as Class II and gives the reason as "Mobius3D version 1.5.0 contained a defect in software code which affects users who perform beam customization, and may lead to a discrepancy in dose calculation between this version of Mobius3D (1.5.0) and the prior...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-2100-2017
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Mobius Medical Systems, LP
Product
Mobius3D Product Usage: Mobius3D software is used for quality assurance and treatment plan verification in radiation therapy. It calculates radiation dose three-dimensionally in a representation of a patient or a phantom. The calculation is based on read-in treatment plans that are initially calculated by a treatment planning system, and may additionally be based on external measurements of radiation fields from other sources such as linac delivery log data. Mobius3D is not a treatment planning system. It is only to be used by trained radiation oncology personnel as a quality assurance tool.
Product code
IYE Accelerator, Linear, Medical
Reason for recall
Mobius3D version 1.5.0 contained a defect in software code which affects users who perform beam customization, and may lead to a discrepancy in dose calculation between this version of Mobius3D (1.5.0) and the prior version (1.4.2), where none should have been expected.
Root cause tag
software
FDA root cause
Software design
Action
The recalling firm sent an Advisory Notice letter dated February 23, 2015 to customers. The letter identified the affected product, problem and actions to be taken. For questions contact Mobius Medical Systems Customer Support at [email protected].
Quantity in commerce
270
Distribution
Worldwide distribution - US Nationwide and the countries of Sweden, Canada, Netherlands, Denmark, Spain, Switzerland, Australia, Austria, Israel, United Kingdom, France
Product codes and lots
Version 1.5.0 and 1.5.2 of the Mobius3D software is affected.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2100-2017
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2100-2017Class IITerminatedVoluntary: Firm initiated