Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2715-2020Class II

Proteus 235 The Proton Therapy System - Proteus 235 (brand names: Proteus Plus and Proteus ONE) is a medical...

Ion Beam Applications S.A. / initiated 2020-07-17 / Terminated / root cause: software

Ion Beam Applications S.A. began a recall of Proteus 235 The Proton Therapy System - Proteus 235 (brand names: Proteus Plus and Proteus ONE) is a medical device designed to produce and deliver a proton... on . FDA classified it as Class II and gives the reason as "IBA became aware of an issue to resume aborted irradiations because the plan to complete the treatment cannot be loaded". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-2715-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Ion Beam Applications S.A.
Product
Proteus 235 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.
Product code
LHN System, Radiation Therapy, Charged-Particle, Medical
Reason for recall
IBA became aware of an issue to resume aborted irradiations because the plan to complete the treatment cannot be loaded.
Root cause tag
software
FDA root cause
Software design
Action
An Urgent Medical Device Correction notification will be communicated to all impacted IBA customers (users of the device), starting July 23, 2020. This letter instructs the customer: If this situation were to occur, it is recommended to complete the aborted treatment in Standalone Mode (please refer to the steps described in annex I and to the part Using adaPTdeliver in Standalone Mode of the Proton Therapy System Clinical Users Guide). IBA will modify the software to remove conditions that make impossible to load the plan to complete the aborted treatment. The solution will be deployed on your site by June 30, 2022.
Quantity in commerce
2 Units
Distribution
US: VA OUS: Belgium
Product codes and lots
Serial Number: Manufacture date SAT.140 (US): manufactured May 2019 SBF.112 (EU): manufactured October 2019

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2715-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2715-2020Class IITerminatedVoluntary: Firm initiated