Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0629-2009

Cyberknife Robotic Radiosurgery System. A radiation therapy device, MultiPlan (MP) Treatment Planning...

Accuray Incorporated / initiated 2008-11-14 / Terminated / root cause: software

Accuray Inc began a recall of Cyberknife Robotic Radiosurgery System. A radiation therapy device, MultiPlan (MP) Treatment Planning Software and Iris Variable Aperture Collimator, Software... on . The reason FDA records is "System may use random incorrect data to calculate dose. Resulting dose calculation error can exceed 100% of correct dose which may lead to serious patient injury". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-0629-2009
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Accuray Incorporated
Product
Cyberknife Robotic Radiosurgery System. A radiation therapy device, MultiPlan (MP) Treatment Planning Software and Iris Variable Aperture Collimator, Software version 3.0. Product is indicated for treatment planning and image guided stereotactic radiosurgery and precision radiotherapy of lesions, tumors and conditions anywhere in the body when radiation treatment is indicated.
Product code
IYE Accelerator, Linear, Medical
Reason for recall
System may use random incorrect data to calculate dose. Resulting dose calculation error can exceed 100% of correct dose which may lead to serious patient injury.
Root cause tag
software
FDA root cause
Software design
Action
An Urgent Advisory Notification letter dated November 14, 2008 was issued to all sites via Fed Ex. The letter identifies the issue and required actions. The user was instructed not to modify current extrapolation depth settings and to contact Accuray Incorporated Customer Support prior to making any changes. Please direct any questions or concerns regarding this issue to Accuray Incorporated Customer Support at 1-877-668-8667 (USA) or 1-408-716-4700 (outside of USA) or [email protected].
Quantity in commerce
4 units
Distribution
Nationwide Distribution. Product was distributed to 4 medical facilities in the US.
Product codes and lots
All units that have MP software version 3.0 and the Iris Collimator in clinical use at the same time are subject to this recall.