Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0288-2018Class II

TomoH(R) System, Model Number 1018284

Accuray Incorporated / initiated 2017-11-17 / Terminated / root cause: software

Accuray Incorporated began a recall of TomoH(R) System, Model Number 1018284 Product Usage: The TomoTherapy treatment system is intended to be used as an integrated system for t he planning and... on . FDA classified it as Class II and gives the reason as "Uncontrolled couch Z-axis movement (descent)". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-0288-2018
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Accuray Incorporated
Product
TomoH(R) System, Model Number 1018284 Product Usage: The TomoTherapy treatment system is intended to be used as an integrated system for t he planning and precise delivery of radiation therapy, stereotactic radiotherapy, or stereotactic radiosurgery to tumors or other targeted tissues while minimizing the delivery of radiation to vital healthy tissues. The megavoltage x-ray radiation is delivered in a rotational, non-rotational, modulated (IMRT), or non- modulated (non-IMRT/3 dimensional conformal) format in accordance with the physicians prescribed and approved plan.
Product code
IYE Accelerator, Linear, Medical
Reason for recall
Uncontrolled couch Z-axis movement (descent)
Root cause tag
software
FDA root cause
Software design
Action
Accuray sent an Urgent Field Safety Notice letter dated November 8, 2017, to affected customers. The letter identified the affected product, problem and actions to be taken. The letter stated the following: "Accuray(R) will correct all affected High-Performance Patient Couches. An Accuray representative will contact you to arrange a time to update your system. The update includes the installation of TomoTherapy(R)' H(TM) Series software version 2.1.2 (Hi Art(R) vS.1.2) on your system, as well as the replacement of cables within the couch subsystem." For questions contact Accuray Customer Support by phoning the regional support lines.
Quantity in commerce
29 units
Distribution
Worldwide Distribution
Product codes and lots
Serial Numbers: 110040 110083 110163 110231 110237 110289 110302 110369 110418 110461 110462 110474 110491 110494 110503 110519 110525 110533 110536 110537 110552 110554 110556 110562 110565 110570 110573 110576 110577

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0288-2018
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0286-2018Class IITerminatedVoluntary: Firm initiated
Z-0287-2018Class IITerminatedVoluntary: Firm initiated
Z-0288-2018Class IITerminatedVoluntary: Firm initiated
Z-0289-2018Class IITerminatedVoluntary: Firm initiated