510(K) CLEARANCES 67 ▼8RECALLS POSTED 26CLASS I 2PMA DECISIONS 40 ▼14WEEK ENDING / FDA DATA AS OF
Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1930-2019Class II

RayStation 3.5, RayStation 4.0, RayStation 4.5, RayStation 4.7, RayStation 5, RayStation 6, RayPlan 1...

RaySearch Laboratories AB (publ) / initiated 2017-11-20 / Terminated / root cause: software

RAYSEARCH LABORATORIES AB began a recall of RayStation 3.5, RayStation 4.0, RayStation 4.5, RayStation 4.7, RayStation 5, RayStation 6, RayPlan 1 (RayStation 4.9) and RayPlan 2 (RayStation 6) . Intended... on . FDA classified it as Class II and gives the reason as "When calculating electron Monte Carlo dose with a very large number of histories, the dose calculation may be wrong". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1930-2019
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
RaySearch Laboratories AB (publ)
Product
RayStation 3.5, RayStation 4.0, RayStation 4.5, RayStation 4.7, RayStation 5, RayStation 6, RayPlan 1 (RayStation 4.9) and RayPlan 2 (RayStation 6) . Intended Use: software system designed for treatment planning and analysis of radiation therapy
Product code
MUJ System, Planning, Radiation Therapy Treatment
Reason for recall
When calculating electron Monte Carlo dose with a very large number of histories, the dose calculation may be wrong
Root cause tag
software
FDA root cause
Software design
Action
RaySearch issued Field Safety Notice, Medical Device Correction #24138 via email on November 20th, 2017. The letter identifies the product, issue, health risk and action to take: Do not use a number of histories above 6 million for electron dose calculation. Inspect all commissioned electron beam models for any applicator calculated with greater than 6 million. Contact customer support if you have any further questions. Confirm you have read and understood this notice. This issue will be resolved in the next version of RayStation, scheduled for market release in December 2017. Educate planning staff and all users about this workaround.
Quantity in commerce
744
Distribution
US Nationwide Distribution
Product codes and lots
Software versions:  3.5.0.16 , 3.5.1.6 , 4.0.0.14 , 4.0.1.4 , 4.0.2.9 , 4.0.3.4 , 4.5.0.19 , 4.5.1.14 , 4.5.2.7 , 4.7.0.15 , 4.7.1.10 , 4.7.2.5 , 4.7.3.13 , 4.7.4.4 , 4.7.5.4 , 4.9.0.42 , 5.0.0.37 , 5.0.1.11 , 5.0.2.35 , 5.0.3.17 , 6.0.0.24 , 6.1.0.26 , 6.1.1.2 and 6.2.0.7

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1930-2019
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1930-2019Class IITerminatedVoluntary: Firm initiated