FDA Recall Open, Classified

SagiPlan 2.2, CE0344, Rx Only , Brachyterapy Treatment Planning System

Recall: Z-0517-2024 · Initiated October 17, 2023

Recall

Recall Number
Z-0517-2024
Event Number
93399
Firm
Bebig Isotopentechnik Gmbh Robert-Rossle-Str. 10 Berlin Germany
FEI Number
1000310011
Product Code
MUJ
Status
Open, Classified
Root Cause
Software Design Change
Initiated
October 17, 2023
Posted
December 8, 2023

Description

SagiPlan 2.2, CE0344, Rx Only , Brachyterapy Treatment Planning System

Reason

Due to software malfunction, numerical values may be rounded resulting in inaccurate measurements.

Action

On October 17, 2023, Eckert & Ziegler BEBIG GmbH issued a "Urgent Field Safety Notice" via email. Eckert & Ziegler asked consignees to take the following actions: 1. If the Length Unit is set to millimeters, user must carefully review and, if necessary, adjust the Image Sequence Plane Separation value during import when working with slice thicknesses that have two decimals, as shown in Figure 1. Users must consider that this approach is not intrinsically safe, therefore solution 1 or 2 is highly recommended 2. If you have used mm as length unit and may have used two decimal numbers in mm for slice thickness, carefully review the patient cases and act accordingly. 3. This notice needs to be passed on to all those who need to be aware within your organization or to any organization where the devices have been transferred to. Please reply to this email by 20th of October 2023 confirming that you have received and understood this information and that you have forwarded it to the people which already have received the named products or will receive them.

Distribution

US: MD OUS: Germany

Quantity

2 software licenses in US, 255 software licenses in OUS