Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1008-2011

CyberKnife Treatment Planning System, a subsystem of the CyberKnife Robotic Radiosurgery System, with...

Accuray Incorporated / initiated 2009-12-29 / Terminated / root cause: manufacturing process

Accuray Inc began a recall of CyberKnife Treatment Planning System, a subsystem of the CyberKnife Robotic Radiosurgery System, with MultiPlan Treatment Planning System Software version 3.5... on . The reason FDA records is "If electron density values are left empty, the calculation of radiation dose in a patient will be modeled as air-like density material rather than correct density. A plan may be created and saved, thus creating the risk...". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-1008-2011
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Accuray Incorporated
Product
CyberKnife Treatment Planning System, a subsystem of the CyberKnife Robotic Radiosurgery System, with MultiPlan Treatment Planning System Software version 3.5 Medical charged-particle radiation therapy system, intended 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
MUJ System, Planning, Radiation Therapy Treatment
Reason for recall
If electron density values are left empty, the calculation of radiation dose in a patient will be modeled as air-like density material rather than correct density. A plan may be created and saved, thus creating the risk of mistreatment.
Root cause tag
manufacturing process
FDA root cause
Employee error
Action
The firm, Accuray, sent an "URGENT DEVICE CORRECTION" letter dated December 29, 2009, to all customers. The letter described the product, problem, and action to be taken by the customers. The customers were instructed to verify correctness of the CT number to relative electron density and Mass Density Calibration curves. Note: A patch is being developed to address this issue. Accuray Customer Support will contact the customers regarding further resolution. If you have any questions or concerns regarding this issue, please contact Accuray Customer Support at +1-877-668-8667 (USA) or +1-408-716-4700 (non USA) or by email: [email protected].
Quantity in commerce
71 units are subject to this action
Distribution
Worldwide Distribution: USA and countries including: Canada, Turkey, India, Italy, France, the Netherlands, the UK, India, Spain, Greece, Saudi Arabia, Switzerland, Germany and China.
Product codes and lots
All systems with multiplan tratment planning system software version 3.5