Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2473-2020Class II

Elekta Unity, Image-Guided Radiation Therapy System

Elekta Limited / initiated 2019-12-18 / Terminated / root cause: manufacturing process

Elekta, Inc. began a recall of Elekta Unity, Image-Guided Radiation Therapy System on . FDA classified it as Class II and gives the reason as "There have been reports of excessive heating in the MRL Gradient Connection Module". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-2473-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Elekta Limited
Product
Elekta Unity, Image-Guided Radiation Therapy System
Product code
IYE Accelerator, Linear, Medical
Reason for recall
There have been reports of excessive heating in the MRL Gradient Connection Module.
Root cause tag
manufacturing process
FDA root cause
Process control
Action
Initially, the firm issued an email on 12/18/2019 to their field engineers which said they had attached a "Knowledge Article" which provided instructions on how to inspect the Philips Marlin 1.5T system used in the Elekta Unity MR Linac. On 5/11/2020, the firm issued an Urgent Important Field Safety Notification dated May, 2020, via email to consignees which explained the problem, clinical impact, and said that initial corrective actions have been performed on all impacted sites to ensure the gradient coil connection assembly is correct. It goes onto say that extensive testing of the incorrect connection material has been completed to ensure that continued use of the Elekta Unity system is acceptable, however, it remained that further actions can be taken to reduce the risk.
Quantity in commerce
21 devices
Distribution
Distributed in US - PA, NY, and IA. Distributed ROW - Australia, Canada, China, Switzerland, Denmark, Hong Kong, Italy, Netherlands, Sweden, Thailand, Turkey, UK. There was no government/military distribution.
Product codes and lots
Elekta Unity Serial numbers 600014, 600016, 600017, 600018, 600019, 600020, 600021, 600022, 600023, 600024, 600025, 600026, 600027, 600028, 600029, 600030, 600031, 600032, 600033, 600034, 600035

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2473-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2473-2020Class IITerminatedVoluntary: Firm initiated