RayStation 9B Service Pack 1, UDI # 07350002010297 -
RAYSEARCH LABORATORIES AB began a recall of RayStation 9B Service Pack 1, UDI # 07350002010297 - Product Usage: For radiation therapy and medical oncology which can also be used to administer treatments on . FDA classified it as Class II and gives the reason as "Software error was identified in the Pencil Beam Scanning (PBS) and Line Scanning (LS) dose calculation algorithms that could result in a local underestimation of expected dose". As of , the recall status on record is Terminated, and MDM tags the root cause as software.
Recall record
- Recall number
- Z-2351-2020
- Classification
- Class II
- Status
- Terminated
- Initiated
- Posted
- Terminated
- Recalling firm
- RaySearch Laboratories AB (publ)
- Product
- RayStation 9B Service Pack 1, UDI # 07350002010297 - Product Usage: For radiation therapy and medical oncology which can also be used to administer treatments.
- Product code
- MUJ System, Planning, Radiation Therapy Treatment
- Reason for recall
- Software error was identified in the Pencil Beam Scanning (PBS) and Line Scanning (LS) dose calculation algorithms that could result in a local underestimation of expected dose.
- Root cause tag
- software
- FDA root cause
- Software design
- Action
- On May 18, 2020, RaySearch Laboratories emailed an Urgent Field Safety Notice, Medical Device Correction #60564 letter to their customers. The letter listed the following actions to be taken by the users: always use the MC dose engine for final dose calculation, in robustness analysis, and dose tracking if possible (the MC dose engine is available in versions RayStation 6.0 and later); if the pencil beam dose engine is used for final dose calculation, ensure that all spots intersect the External ROI as seen in the Beams Eye View (BEV) of the Plan optimization module; if they do not, expand the External ROI so that all spots do intersect the External ROI, and re-optimize the plan if necessary; if the MC dose engine is used for final dose calculation, and hot spots related to tangential fields are observed, expand the External ROI so that the central axis of all spots intersect the External ROI and re-optimize the plan; educate planning staff and all users about this workaround; inspect your product and identify all installed units with the above software version number(s). RaySearch Laboratories asked all customers to confirm that they have read and understood the notice by replying to the notification email.
- Distribution
- US Nationwide distribution including in the states of Florida, Georgia, Utah, Virginia, California, Maryland, Arizona, Texas, Washington DC, Missouri, Massachusetts, Illinois, Oklahoma, New Jersey, Tennessee, and Louisiana.
- Product codes and lots
- UDI # 07350002010297 Build number: 9.2.0.483
Enforcement reports
One row per recalled product line| Recall number | Class | Status | Voluntary or mandated | Report date | Classified |
|---|---|---|---|---|---|
| Z-2339-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-2340-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-2341-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-2342-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-2343-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-2344-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-2345-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-2346-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-2347-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-2348-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-2349-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-2350-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-2351-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-2352-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-2353-2020 | Class II | Terminated | Voluntary: Firm initiated |
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