Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1655-2010

Elekta XiO Radiation Treatment Planning System

Elekta Limited / initiated 2010-04-15 / Terminated / root cause: software

Computerized Medical Systems Inc began a recall of Elekta XiO Radiation Treatment Planning System on . The reason FDA records is "Under certain circumstances, XiO will over-estimate dose in the region where the backup jaw is inside the MLC opening". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1655-2010
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Elekta Limited
Product
Elekta XiO Radiation Treatment Planning System
Product code
MUJ System, Planning, Radiation Therapy Treatment
Reason for recall
Under certain circumstances, XiO will over-estimate dose in the region where the backup jaw is inside the MLC opening
Root cause tag
software
FDA root cause
Software design
Action
Elekta issued an undated "Important Safety Notice" to all affected sites via e-mail on 4/20/2010. The notice was also sent to the sites on 4/6/10 and 4/12/10 (for 4 sites) before the firm made the decision to recall. The letter explains the correct functioning of the system, the problem, when and why it occurs, the clinical impact, and the work around. Although not stated in the Safety Notice, a self-addressed postcard was enclosed for the customer to return as evidence they received and understood the notice. Sites that do not return the card will be contacted by phone.
Quantity in commerce
The release is being used by 34 customers that also have an Elekta linear accelerator
Distribution
Worldwide Distribution: USA, Canada, Australia, Spain, Italy, the Netherlands, United Kingdom, Taiwan, Malaysia, France, Ireland, and Israel.
Product codes and lots
Release 4.50.00 and above