Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0931-2018Class II

Proteus 235, Pencil Beam Scanning version PTS-6.4.11.X The Proton Therapy System - Proteus 235 (brand names...

Ion Beam Applications S.A. / initiated 2017-10-19 / Terminated / root cause: design

Ion Beam Applications S.A. began a recall of Proteus 235, Pencil Beam Scanning version PTS-6.4.11.X The Proton Therapy System - Proteus 235 (brand names: Proteus Plus and Proteus ONE) is a medical device... on . FDA classified it as Class II and gives the reason as "Range for the same energy could be different depending if the layer is the first layer of the irradiation plan or not". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-0931-2018
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Ion Beam Applications S.A.
Product
Proteus 235, Pencil Beam Scanning version PTS-6.4.11.X The Proton Therapy System - Proteus 235 (brand names: Proteus Plus and Proteus ONE) is 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. The PTS may include a fixed small beam treatment room dedicated to the treatment of patients with localized tumors and other conditions susceptible to treatment by radiation localized to the head and neck.
Product code
LHN System, Radiation Therapy, Charged-Particle, Medical
Reason for recall
Range for the same energy could be different depending if the layer is the first layer of the irradiation plan or not.
Root cause tag
design
FDA root cause
Device Design
Action
IBA sent an Urgent Field Safety Notice dated October 19, 2017 , issued to customers stating the following: IBA recommends performing a check to detect the consequence of this potential power supply regulation issue on a regular basis (IBA recommends Monthly), see Annex 1 for details. IBA is developing a corrective action in order to reduce the hysteresis effect and detect magnet current overshoot. This solution will be deployed to all systems using JEMA analog power supply. This solution will be validated and deployed by April 2018. For further questions, please call (215) 972-7985
Quantity in commerce
3
Distribution
US Distribution to the state of :FL
Product codes and lots
PAT.003 (KR), PAT.006 (US)

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0931-2018
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0931-2018Class IITerminatedVoluntary: Firm initiated