Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2604-2011

XiO Radiation Treatment Planning System, XiO Release 4.50.00 and above

Elekta Limited / initiated 2010-05-19 / Terminated / root cause: software

Computerized Medical Systems Inc began a recall of XiO Radiation Treatment Planning System, XiO Release 4.50.00 and above on . The reason FDA records is "XiO Software: when a treatment machine is defined in Source File Maintenance (SFM), the MLC Model is set to Elekta, and beams using this treatment machine are added to a new plan in Teletherapy, XiO automatically adds...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-2604-2011
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Elekta Limited
Product
XiO Radiation Treatment Planning System, XiO Release 4.50.00 and above
Product code
MUJ System, Planning, Radiation Therapy Treatment
Reason for recall
XiO Software: when a treatment machine is defined in Source File Maintenance (SFM), the MLC Model is set to Elekta, and beams using this treatment machine are added to a new plan in Teletherapy, XiO automatically adds an MLC to the beam. This is because the Elekta linac will always have an MLC in place when the plan is actually delivered.
Root cause tag
software
FDA root cause
Software design
Action
A Safety Notice, dated 5/20/10, was sent to Elekta / Computerized Medical Systems Inc clients in May 2010. The notice indicates the problem, the clinical impact. The notice states a future XiO Release will resolve the issue. A return postcard is included with the mailing to verify consignee received the notice. For sites not returning the postcard by 5/28/10, the recalling firm will contact them via phone or email to confirm receipt of the notice. The notice also informed the consignees they would be contacted when a solution was available.
Quantity in commerce
57
Distribution
Nationwide distribution to medical facilities including Puerto Rico. Distribution was also made to two Military and Government consignees. Foreign distribution was made to Australia, Belgium, Brazil, Canada, Colombia, France, India, Ireland, Israel, Italy, Malaysia, Netherlands, Philippines, Poland, Spain, and United Kingdom.
Product codes and lots
XiO Release 4.50.00 and above