Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1412-2019Class II

Leksell GammaPlan 11.1

Elekta Instrument AB / initiated 2018-06-27 / Open, Classified / root cause: software

Elekta Instrument AB began a recall of Leksell GammaPlan 11.1 Product Usage: Leksell GammaPlan is a computer-based system designed for Leksell Gamma Knife treatment planning on . FDA classified it as Class II and gives the reason as "The margin tool in Leksell GammaPlan 11.1 systematically overestimates margin in certain areas of the volume". As of , the recall status on record is Open, Classified, and MDM tags the root cause as software.

Recall record

Recall number
Z-1412-2019
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Elekta Instrument AB
Product
Leksell GammaPlan 11.1 Product Usage: Leksell GammaPlan is a computer-based system designed for Leksell Gamma Knife treatment planning.
Product code
IWB System, Radiation Therapy, Radionuclide
Reason for recall
The margin tool in Leksell GammaPlan 11.1 systematically overestimates margin in certain areas of the volume.
Root cause tag
software
FDA root cause
Software design
Action
Elekta initially notified customers on about 06/27/2018 via "URGENT IMPORTANT FIELD SAFETY NOTIFICATION" LETTER. Instructions included to post the recall notice in a place accessible to all users, e.g. Instructions for Use, until the recall action is closed, advise the appropriate personnel working with the affected device of the recall and the content of the recall notification letter, and complete and return the Acknowledgement Form. Elekta updated their recall strategy on about 11/21/2018 and will be providing all affected customers with software upgrade 11.1.1. Electa service engineers will be pro-actively reaching out to customers to organize a date for installation on all affected devices. An updated recall notification was not sent to customers.
Quantity in commerce
52 devices
Distribution
Worldwide Distribution - US Nationwide distribution to GA, MD, NJ, PA, PR, WA. International distribution to Australia, Belgium, France, Germany, Hong Kong, Italy, Japan, Korea, Democratic People's Republic of, Netherlands, Romania, Russian Federation, Spain, Turkey, United Kingdom.
Product codes and lots
Software Version 11.1

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1412-2019
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1412-2019Class IIOngoingVoluntary: Firm initiated