Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2039-2023Class II

Radiation therapy software, RayStation standalone software treatment planning system. Model numbers: 8B, 8B...

RaySearch Americas Inc. / initiated 2021-01-22 / Terminated / root cause: software

RaySearch America Inc began a recall of Radiation therapy software, RayStation standalone software treatment planning system. Model numbers: 8B, 8B SP1, 8B SP2, 9A, 9B, 9B SP1, 10A, 10A SP1 and 10B... on . FDA classified it as Class II and gives the reason as "A software bug affecting results when using deep learning (DL) segmentation followed by geometrical functions: Create wall function, Expand Contract function or ROI algebra function, the results are incorrect. If dose...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-2039-2023
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
RaySearch Americas Inc.
Product
Radiation therapy software, RayStation standalone software treatment planning system. Model numbers: 8B, 8B SP1, 8B SP2, 9A, 9B, 9B SP1, 10A, 10A SP1 and 10B. Software versions: 8.1, 9.0, 9.1, 9.2, 10.0, 10.1.
Product code
MUJ System, Planning, Radiation Therapy Treatment
Reason for recall
A software bug affecting results when using deep learning (DL) segmentation followed by geometrical functions: Create wall function, Expand Contract function or ROI algebra function, the results are incorrect. If dose statistics for an incorrectly created ROI are used to determine if a plan is acceptable for treatment, this could potentially lead to an inappropriate plan being approved. The error could lead to a more conservative or more liberal plan than intended.
Root cause tag
software
FDA root cause
Software design
Action
Field Safety Notice 73474 was emailed January 22, 2021 to affected customers. The notice identifies affected RayStation models: 8B, 8B SP1, 8B SP2, 9A, 9B, 9B SP1, 10A, 10A SP1 and 10B running software versions RS 8.1, 9.0, 9.1, 9.2, 10.0, 10.1. Users are instructed not to use Create wall, Expand/Contract, or ROI algebra functions directly on ROIs created by the DL segmentation. Instead, convert the ROIs to contour or mesh representation before using the affected functions. Users are to confirm they read and understood the notice by replying to the email. Error fixed in RS 10B Service Pack 1 and corrected in the next version of RayStation.
Quantity in commerce
5 systems
Distribution
US: AZ, CA, GA & WA
Product codes and lots
UDI-DI: 07350002010129 UDI-DI: 07350002010204 UDI-DI: 07350002010235 UDI-DI: 07350002010174 UDI-DI: 07350002010266 UDI-DI: 07350002010297 UDI-DI: 07350002010303 UDI-DI: 07350002010365 UDI-DI: 07350002010310

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2039-2023
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2039-2023Class IITerminatedVoluntary: Firm initiated