Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1846-2021Class II

ExacTrac Dynamic software, Model 20910-01B ETD Positioning and Monitoring Installer 1.0.2 -

Brainlab, Inc. / initiated 2021-05-14 / Terminated / root cause: software

Brainlab AG began a recall of ExacTrac Dynamic software, Model 20910-01B ETD Positioning and Monitoring Installer 1.0.2 - Product Usage: intended to position patients at an accurately... on . FDA classified it as Class II and gives the reason as "Display of potential patient movement might be delayed to the user for high dose treatments". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1846-2021
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Brainlab, Inc.
Product
ExacTrac Dynamic software, Model 20910-01B ETD Positioning and Monitoring Installer 1.0.2 - Product Usage: intended to position patients at an accurately defined point within the treatment beam of a medical accelerator for stereotactic radiosurgery or radiotherapy procedures, to monitor the patient position, and to provide a beam hold signal in case of a deviations in order to treat lesions, tumors, and conditions anywhere in the body when radiation treatment is indicated.
Product code
IYE Accelerator, Linear, Medical
Reason for recall
Display of potential patient movement might be delayed to the user for high dose treatments.
Root cause tag
software
FDA root cause
Software design
Action
An Urgent Field Safety Notice/Product Notification dated 4/29/2021 was issued on 5/14/2021 via email explaining the safety issue and letting the customer know that this issue is in addition to the previous notification of 9/8/2020 which has now expanded to versions 1.0.1 and 1.0.2.
Quantity in commerce
22 systems in the U.S.
Distribution
US Nationwide distribution in the states of AZ, AR, CA, FL, IN, NJ, NY, NC, OR, PA, and TX. There was no government/military distribution.
Product codes and lots
Version 1.02, GTIN 04056481142315

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1846-2021
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1846-2021Class IITerminatedVoluntary: Firm initiated