Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0517-2024Class II

SagiPlan 2.2, CE0344, Rx Only , Brachyterapy Treatment Planning System

Eckert & Ziegler Bebig GmbH / initiated 2023-10-17 / Open, Classified / root cause: software

Bebig Isotopentechnik Gmbh began a recall of SagiPlan 2.2, CE0344, Rx Only , Brachyterapy Treatment Planning System on . FDA classified it as Class II and gives the reason as "Due to software malfunction, numerical values may be rounded resulting in inaccurate measurements". As of , the recall status on record is Open, Classified, and MDM tags the root cause as software.

Recall record

Recall number
Z-0517-2024
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Eckert & Ziegler Bebig GmbH
Product
SagiPlan 2.2, CE0344, Rx Only , Brachyterapy Treatment Planning System
Product code
MUJ System, Planning, Radiation Therapy Treatment
Reason for recall
Due to software malfunction, numerical values may be rounded resulting in inaccurate measurements.
Root cause tag
software
FDA root cause
Software Design Change
Action
On October 17, 2023, Eckert & Ziegler BEBIG GmbH issued a "Urgent Field Safety Notice" via email. Eckert & Ziegler asked consignees to take the following actions: 1. If the Length Unit is set to millimeters, user must carefully review and, if necessary, adjust the Image Sequence Plane Separation value during import when working with slice thicknesses that have two decimals, as shown in Figure 1. Users must consider that this approach is not intrinsically safe, therefore solution 1 or 2 is highly recommended 2. If you have used mm as length unit and may have used two decimal numbers in mm for slice thickness, carefully review the patient cases and act accordingly. 3. This notice needs to be passed on to all those who need to be aware within your organization or to any organization where the devices have been transferred to. Please reply to this email by 20th of October 2023 confirming that you have received and understood this information and that you have forwarded it to the people which already have received the named products or will receive them.
Quantity in commerce
2 software licenses in US, 255 software licenses in OUS
Distribution
US: MD OUS: Germany
Product codes and lots
SagiPlan, article # 1374-0600, version 2.2

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0517-2024
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0517-2024Class IIOngoingVoluntary: Firm initiated