Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0938-2018Class II

Proteus 235, Proton Therapy System a medical device designed to produce and delivers a proton beam for the...

Ion Beam Applications S.A. / initiated 2017-11-17 / Terminated / root cause: design

Ion Beam Applications S.A. began a recall of Proteus 235, Proton Therapy System a medical device designed to produce and delivers a proton beam for the treatment of patients with localized tumors and... on . FDA classified it as Class II and gives the reason as "There is a risk of misalignment of the patient when using treatment plans with multiple isocenters". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-0938-2018
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Ion Beam Applications S.A.
Product
Proteus 235, Proton Therapy System a medical device designed to produce and delivers 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
There is a risk of misalignment of the patient when using treatment plans with multiple isocenters.
Root cause tag
design
FDA root cause
Device Design
Action
On November 17, 2017 an Urgent Field Safety Notice was issued to customers informing users that when creating or importing a treatment plan with multiple isocenters, the user has to enter Patient Positioning System positions manually.
Quantity in commerce
37
Distribution
Nationally
Product codes and lots
PAT.000 (US), PAT.001 (CN), PAT.003 (KR), PAT.006 (US), PAT.107 (EU), PAT.108 (US), PAT.109 (US), PAT.110 (US), PAT.111 (EU), PAT.112 (US), PAT.113 (US), PAT.114 (EU), PAT.115 (EU), SAT.116 (US), SAT.117 (EU), SAT.119 (US), SAT.120 (EU), SAT.122 (EU), SAT.123 (US), SAT.126 (US), SAT.132 (EU), SAT.133 (US), SBF.101 (EU), SBF.105 (US)

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0938-2018
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0938-2018Class IITerminatedVoluntary: Firm initiated