Ximatron Digital Imaging (Ximavision), V 7.5.51 with Service Pack (SP), Oncology Information System, Varian Medical Systems
Recall
- Recall Number
- Z-0213-2008
- Event Number
- 38376
- Firm
- Varian Medical Systems Inc
- FEI Number
- 2916710
- Product Code
- KPQ
- Status
- Terminated
- Root Cause
- Software design
- Initiated
- June 25, 2007
- Posted
- November 8, 2007
- Terminated
- February 4, 2008
- Address
- 911 Hansen Way, Palo Alto, CA, 94304
Description
Ximatron Digital Imaging (Ximavision), V 7.5.51 with Service Pack (SP), Oncology Information System, Varian Medical Systems
Unexpected loss of Treatement Field Add-Ons (Wedges, Blocks, etc) during Ximatron simulation. If an unapproved treatment field is created without an MLC, but with an add-on, the add on will be deleted without warning. If this is not detected and corrected, incorrect dose delivery will occur.
The firm issued an Urgent Medical Device Correction letter to its customers by mail on June 25, 2007. It informed consignees of the anomaly in the software and workarounds for the issue. In addition, the firm also stated that they are currently validating a new software modification to repair the problem.
Worldwide Distribution-USA (MO and NY medical centers) and countries of Switzerland, Bahrain, Canada, France, Germany, Japan, Norway and Sweden.---
14 units