Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0934-2018Class II

Proteus 235, Uniform and Pencil Beam Scanning The Proton Therapy System - Proteus 235 (brand names: Proteus...

Ion Beam Applications S.A. / initiated 2017-12-05 / Terminated / root cause: design

Ion Beam Applications S.A. began a recall of Proteus 235, Uniform and Pencil Beam Scanning The Proton Therapy System - Proteus 235 (brand names: Proteus Plus and Proteus ONE) is a medical device designed... on . FDA classified it as Class II and gives the reason as "An accessory (range shifter, ridge filter&) can be improperly inserted in snout 300x400 with one rail only and the proton therapy system can still operate". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-0934-2018
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Ion Beam Applications S.A.
Product
Proteus 235, Uniform and Pencil Beam Scanning 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
An accessory (range shifter, ridge filter&) can be improperly inserted in snout 300x400 with one rail only and the proton therapy system can still operate.
Root cause tag
design
FDA root cause
Device Design
Action
Ion Beam Applications (IBA) sent an Urgent Field Safety Notice dated December 5, 2017, to customers informing them of the issue and request that all users verify that the accessory is correctly inserted in snout 300x400 with both rails in the guide. A solution to this issue including a hardware modification will be deployed on or before March 31, 2018. For further questions, please call (215) 972-7985.
Quantity in commerce
14
Distribution
US Distribution to the states of : MA, FL, VA, PA, OK, TN
Product codes and lots
PAT.000 (US), PAT.003 (KR), PAT.006 (US), PAT.107 (EU), PAT.108 (US), PAT.109 (US), PAT.110 (US), SAT.119 (US).

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0934-2018
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0934-2018Class IITerminatedVoluntary: Firm initiated