Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1598-2021Class II

RayStation standalone software radiation therapy treatment planning system. Model Number: 8A, 8B, 9A, 9B...

RaySearch Laboratories AB (publ) / initiated 2021-04-07 / Terminated / root cause: software

RAYSEARCH LABORATORIES AB began a recall of RayStation standalone software radiation therapy treatment planning system. Model Number: 8A, 8B, 9A, 9B, 10A, 10B including some service packs on . FDA classified it as Class II and gives the reason as "When using more than one plan in a treatment course, the Total dose display in Dose tracking may be incorrect. There may be a mismatch between the fractions that appear as selected in the Treatment course list in Dose...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1598-2021
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
RaySearch Laboratories AB (publ)
Product
RayStation standalone software radiation therapy treatment planning system. Model Number: 8A, 8B, 9A, 9B, 10A, 10B including some service packs
Product code
MUJ System, Planning, Radiation Therapy Treatment
Reason for recall
When using more than one plan in a treatment course, the Total dose display in Dose tracking may be incorrect. There may be a mismatch between the fractions that appear as selected in the Treatment course list in Dose tracking and the fractions that are included in the dose summation. The issue only affects RayTreat users and only the Total dose option. Accumulation and other options in Dose tracking are correct.
Root cause tag
software
FDA root cause
Software design
Action
On 04/08/2021, Gore issued an Urgent Medical Device Removal notice to customer via letter notifying them that a Gore Viabil Biliary Endoprosthesis 10 mm x 10 cm device appeared shorter than the labeled length.
Distribution
Domestic: TN
Product codes and lots
Software version number: 8.0.0.6 , 8.0.1.10 , 8.1.0.47 , 8.1.1.8 , 8.1.2.5 , 9.0.0.113 , 9.1.0.933 , 9.2.0.483 , 10.0.0.1154 , 10.0.1.52 , 10.1.0.613

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1598-2021
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1598-2021Class IITerminatedVoluntary: Firm initiated