Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2645-2011

ERGO++ Stereotactic Radiation Treatment Planning System, ERGO++ Release 1.6.3 and 1.6.3.1

Elekta Limited / initiated 2009-12-11 / Terminated / root cause: software

Computerized Medical Systems Inc began a recall of ERGO++ Stereotactic Radiation Treatment Planning System, ERGO++ Release 1.6.3 and 1.6.3.1 Product Usage: Used to create treatment plans for any cancer patient... on . The reason FDA records is "ERGO Release 1.6.3 is overestimating the MU values". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-2645-2011
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Elekta Limited
Product
ERGO++ Stereotactic Radiation Treatment Planning System, ERGO++ Release 1.6.3 and 1.6.3.1 Product Usage: Used to create treatment plans for any cancer patient for who external beam radiation therapy has been prescribed. It is an accessory to linear accelerators used for radiation therapy. It is indicated for use in the planning of 3-dimensional radiation therapy.
Product code
MUJ System, Planning, Radiation Therapy Treatment
Reason for recall
ERGO Release 1.6.3 is overestimating the MU values.
Root cause tag
software
FDA root cause
Software design
Action
Computerized Medical Systems, Inc. sent an "USER NOTIFICATION" dated December 11, 2009, to all affected customers. The notice identified the product, problem and suggested a workaround to minimize the risk. The notice stated that this workaround does NOT substitute the need for regular Quality Assurance. Customers are instructed to review page 39 of user manual for further explanation of warnings. Customers were asked to complete the Notice for Customer section and return to 3D Line Medical System. This issue has been resolved in Release 1.7.0 and above. No follow-up notice will be distributed to customers. For further information please contact: CMS Software (314) 812-4460 (St Louis Office)
Quantity in commerce
45
Distribution
Nationwide distribution to medical facilities in CA, MO, NC, ND, NV, NY, OH, OK, TX, and WA. Foreign distribution was made to Brazil, Cuba, Czech Republic, France, Germany, India, Italy, Japan, Malaysia, Poland, Portugal, Serbia, and Spain.
Product codes and lots
ERGO++ Release 1.6.3 and 1.6.3.1