Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0545-2008

Varian brand Clinac, Accelerator, Linear, Medical charged-particle radiation therapy system; Model: Low...

Varian Medical Systems, Inc. / initiated 2007-09-10 / Terminated / root cause: labeling and UDI

Varian Medical Systems Inc began a recall of Varian brand Clinac, Accelerator, Linear, Medical charged-particle radiation therapy system; Model: Low Energy Clinacs with one or more of the following... on . The reason FDA records is "The collimator drive chain may break or slip off of its drive track, allowing the collimator to rotate freely without motor control; if undetected resulting in a treatment with the wrong collimator angle". As of , the recall status on record is Terminated, and MDM tags the root cause as labeling and UDI.

Recall record

Recall number
Z-0545-2008
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Varian Medical Systems, Inc.
Product
Varian brand Clinac, Accelerator, Linear, Medical charged-particle radiation therapy system; Model: Low Energy Clinacs with one or more of the following options: -- BrainLAB micro MLC -- Stereotactic motion disable Product is manufactured and distributed by Varian Medical Systems, Palo Alto, CA
Product code
IYE Accelerator, Linear, Medical
Reason for recall
The collimator drive chain may break or slip off of its drive track, allowing the collimator to rotate freely without motor control; if undetected resulting in a treatment with the wrong collimator angle.
Root cause tag
labeling and UDI
FDA root cause
Labeling design
Action
On 9/10/07, the firm issued an Urgent Medical Device Correction letter to all its direct consignees, informing them of the device defect and providing instructions on the recall. Short term user instructions were provided and the firm will schedule follow-up visits to make the needed permanent device corrections at each device site.
Quantity in commerce
418 (total for Recalls Z-0544-0545-2008)
Distribution
Worldwide- Canada, Mexico, and the USA
Product codes and lots
The Serial Numbers:  H180001, H180007, H180076, H180143, H180147, H180169, H180181, H180187, H180195, H180222, H180273, H180276, H180311, H180314, H180322, H180460, H180467, H180473, H180490, H180493, H180514, H180533, H180550, H180563, H180566, H180570, H180576, H180599, H180613, H180631, H180671, H180690, H180697, H180718, H180731, H180739, H180779, H180785, H180786, H180808, H180815, H180816, H180822, H180836, H180844, H180855, H180877, H180894, H181065, H180066, and H180769