Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0182-2022Class II

Oncentra Brachy users using version 4.0 and above with Applicator Modeling license 170283-00

Elekta Limited / initiated 2021-10-13 / Open, Classified / root cause: software

Elekta, Inc. began a recall of Oncentra Brachy users using version 4.0 and above with Applicator Modeling license 170283-00 on . FDA classified it as Class II and gives the reason as "Under certain circumstances, there can be a difference between the planned and delivered dose of the two ovoid channels". As of , the recall status on record is Open, Classified, and MDM tags the root cause as software.

Recall record

Recall number
Z-0182-2022
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Elekta Limited
Product
Oncentra Brachy users using version 4.0 and above with Applicator Modeling license 170283-00
Product code
MUJ System, Planning, Radiation Therapy Treatment
Reason for recall
Under certain circumstances, there can be a difference between the planned and delivered dose of the two ovoid channels.
Root cause tag
software
FDA root cause
Software design
Action
An Urgent Important Field Safety Notification letter (FAC-NU-0007) was issued to consignees to notify of the issue, clinical impact and recommend the following: 1) Recommended User Action in the unique scenario, which is only applicable for the Venezia" applicator: Avoid use of the combination of the two Venezia" applicator Anchor Points O1-Center and O2-Center by disabling one of them in the Applicator Library Manager. 2)Recommended User Action in the exceptional situation that may also occur for other Applicator Models: Avoid incorrect placement of the Anchor Points, especially exchanging left / right anchor point positions. 3) Recommended User Actions for both scenarios: Until an updated version of Oncentra Brachy is available, it is strongly advised: " To use additional Anchor Points during applicator modelling. This will further reduce the chance of mirroring the Applicator Model. " To cross-check the source dwell position information from the Case Explorer to be in accordance with the source dwell positions in the image views. " Use the Triangles option for the applicator skin visualization in the 3D view, and review whether the Applicator Model has a correct shading display. " Perform proper Quality Assurance for all treatment plans before treatment delivery. Consignees are required to acknowledge receipt of the notification to Elekta within 30 days.
Quantity in commerce
1072 devices
Distribution
Distribution throughout USA OUS distribution including:Algeria, Argentina, Australia, Austria Bahamas, Bangladesh, Belarus, Belgium, Bolivia, Botswana, Brazil Brunei, Bulgaria, Canada, Chile, China, Colombia, Croatia, Cyprus, Czech Republic, Denmark, Egypt, Estonia, Finland, France, Georgia, Germany, Ghana, Greece, Honduras, Hong Kong, Hungary, Iceland, India, Indonesia, Iran (Islamic Republic of), Ireland, Israel, Italy, Japan, Jordan, Kazakhstan, Kenya, Korea, Republic of, Kosovo, Libyan Arab Jamahiriya, Malaysia, Mexico, Morocco, Netherlands, New Zealand, Norway, Pakistan, Peru, Philippines, Poland, Portugal, Republic of Serbia, Romania, Russian Federation, Saudi Arabia, Senegal, Singapore, Slovakia, South Africa, Spain, Sudan, Sweden, Switzerland, Taiwan, Thailand, Tunisia, Turkey, Ukraine, United Arab Emirates, United Kingdom, Uzbekistan, Venezuela, Vietnam
Product codes and lots
Oncentra Brachy users using version 4.0 and above with Applicator Modeling license 170283-00 GTIN Numbers: 08717213052758, 08717213038660, 08717213020610, 08717213052321, 08717213052314, 08717213052307, 08717213052291, 08717213052246, 08717213052239, 08717213051881, 08717213051843, 08717213051782, 08717213051775, 08717213051294, 08717213020610, 08717213053717, 08717213053700

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0182-2022
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0182-2022Class IIOngoingVoluntary: Firm initiated