Medical Device
Manufacturing
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Z-0115-2022Class II

Elekta Medical Linear Accelerator (EMLA): Elekta Harmony Pro, REF 1555143; Elekta Infinity, REF 1552091, and...

Elekta Solutions AB / initiated 2021-09-28 / Terminated / root cause: manufacturing process

ELEKTA SOLUTIONS AB began a recall of Elekta Medical Linear Accelerator (EMLA): Elekta Harmony Pro, REF 1555143; Elekta Infinity, REF 1552091, and Elekta Versa HD, REF 1552093 on . FDA classified it as Class II and gives the reason as "There is a risk that the Diode D1 in the Modulator can fail in a destructive manner when removed from the machine, and that the protective tube surrounding the diode may fail to contain the ejected matter". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-0115-2022
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Elekta Solutions AB
Product
Elekta Medical Linear Accelerator (EMLA): Elekta Harmony Pro, REF 1555143; Elekta Infinity, REF 1552091, and Elekta Versa HD, REF 1552093.
Product code
IYE Accelerator, Linear, Medical
Reason for recall
There is a risk that the Diode D1 in the Modulator can fail in a destructive manner when removed from the machine, and that the protective tube surrounding the diode may fail to contain the ejected matter.
Root cause tag
manufacturing process
FDA root cause
Nonconforming Material/Component
Action
The recalling firm issued an Urgent Important Field Safety Notification dated September 2021 via email on 9/28/2021. The Subject of the letter was addressed for the service user regarding precautions to be taken when handling diode D1. The notification described the details of the failure and that Elekta is currently working on a solution to eliminate this failure mode. The notice was to be placed in an area accessible to all users until the correction is made. Appropriate personnel who work with this product are to be advised on the content of the letter. Corrective actions were provided regarding removing the modulator covers and the Personal Protective Equipment that must be worn by the engineer, including a safety visor, protective jacket, and gloves. Instructions for removing the RDO diode (D1) were provided. An Acknowledgment Form was included for completion and return to Elekta no later than 30 days for acknowledgement that the service user has read and understands the notification and accepts the implementation of any given recommendation.
Quantity in commerce
2 in the U.S.
Distribution
Distribution was to ND and NC. There was no military/government distribution.
Product codes and lots
Elekta Harmony Pro, Serial #441009, UDI (01) 05060191071604; Elekta Infinity, Serial #156645, UDI (01) 05060191071543; and Elekta Versa HD, Serial #156646, #156477, and #156648, UDI (01) 05060191071574

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0115-2022
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0115-2022Class IITerminatedVoluntary: Firm initiated