Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1398-06

GammaMed software program, version 5.07, vers. 5.08, vers.-usa, vers.-tst and vers.-row , part number...

Varian Medical Systems, Inc. / initiated 2006-05-01 / Terminated / root cause: software

Varian Medical Systems began a recall of GammaMed software program, version 5.07, vers. 5.08, vers.-usa, vers.-tst and vers.-row , part number GM11005400, for the GammaMed model 12i radionuclide... on . The reason FDA records is "Software control program for a medical device used in radiation treatment may cause practitioners to incorrectly administer the treatment plan to cancer patients. There is a hazard when entering the treatment plans...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1398-06
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Varian Medical Systems, Inc.
Product
GammaMed software program, version 5.07, vers. 5.08, vers.-usa, vers.-tst and vers.-row , part number GM11005400, for the GammaMed model 12i radionuclide applicator system.
Product code
JAQ System, Applicator, Radionuclide, Remote-Controlled
Reason for recall
Software control program for a medical device used in radiation treatment may cause practitioners to incorrectly administer the treatment plan to cancer patients. There is a hazard when entering the treatment plans manually that the user neglects to change the default step size and/or the origin or accidentally enters incorrect parameters.
Root cause tag
software
FDA root cause
Other
Action
The recalling firm notified healthcare practitioners using the medical device by letter on 4/17/06 and continuing through 5/1/06. The notification was flagged as a 'Medical Device Recall' and instructed users to adjust system parameters in the autoexec.bat file. The notification further recommended using the identified treatment plans and that manual input should be used for QA purposes only.
Quantity in commerce
22 units
Distribution
Nationwide.
Product codes and lots
GammaMed ''12i'' serial numbers: GM00797 GM00795 GM00896 GM00852 GM00873 GM00708 GM0F278 GM00710 GM00848 GM00899 GM00820 GM00757 GM00821 GM00889 GM00727 GM00706 GM0710 GM00898 GM00743 GM00826 GM00784 GM00786