FDA Recall Terminated

Ximatron Digital Imaging (Ximavision), V 7.5.51 with Service Pack (SP), Oncology Information System, Varian Medical Systems

Recall: Z-0213-2008 · Initiated June 25, 2007

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

Reason

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.

Action

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.

Distribution

Worldwide Distribution-USA (MO and NY medical centers) and countries of Switzerland, Bahrain, Canada, France, Germany, Japan, Norway and Sweden.---

Quantity

14 units