Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1235-2023Class II

Sensus Healthcare Inc, SRT-100 Vision IPX 0, HFUS Module IPX 1, with software version 1.9.2; Superficial...

Sensus Healthcare / initiated 2023-02-10 / Terminated / root cause: software

Sensus Healthcare, Inc. began a recall of Sensus Healthcare Inc, SRT-100 Vision IPX 0, HFUS Module IPX 1, with software version 1.9.2; Superficial X-ray Radiation Therapy System with Ultrasonic Imaging... on . FDA classified it as Class II and gives the reason as "When the user pauses the beam delivery, the dose timer is reset (to zero), and as a result may deliver an unexpected dose to the patient". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1235-2023
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Sensus Healthcare
Product
Sensus Healthcare Inc, SRT-100 Vision IPX 0, HFUS Module IPX 1, with software version 1.9.2; Superficial X-ray Radiation Therapy System with Ultrasonic Imaging Capabilities
Product code
JAD System, Therapeutic, X-Ray
Reason for recall
When the user pauses the beam delivery, the dose timer is reset (to zero), and as a result may deliver an unexpected dose to the patient.
Root cause tag
software
FDA root cause
Software design
Action
Sensus healthcare issued an "Urgent Device Correction" to its consignees on 02/10/2023 by email. The notice requested the following actions: "Do not initiate beam delivery after a pause & resume sequence without verifying the amount of dose delivered. Do evaluate any patient treatments with version 1.9.2 that followed the pause & resume workflow. Do verify that the amount of dose to be delivered is as expected after each pause & resume sequence." The firm has developed a permanent software resolution for this issue. Customer service will contact the customer to coordinate upgrading to this revised software. Questions: Contact Sensus Customer Support at [email protected] or 561-578-4982
Quantity in commerce
23 units
Distribution
US Distribution to states of: RX, IN, NM, FL, NY, FA, NC, IA, and IL.
Product codes and lots
Software version 1.9.2 loaded onto Serial Numbers: 1512-2002; 1512-2003; 1606-2007; 1609-2010; 1609-2011; 1609-2018; 1612-2023; 1612-2025; 1705-2032; 1709-2046; 1803-2068; 1906-2137; 1909-2149; 1912-2167; 2003-2177; 2112-2201; 2112-2202; 2112-2208; 2112-2218; 2203-2232; 2203-2241; 2206-2264; 2206-2272

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1235-2023
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1235-2023Class IITerminatedVoluntary: Firm initiated