Varian brand Clinac, Accelerator, Linear, Medical charged-particle radiation therapy system: Model: High Energy Clinacs with one or more of the following options: -- BrainLAB micro MLC, -- 6MV SRS photon beam, -- Fine Beam Isocenter Accuracy, -- Stereotactic motion disable. ----Product is manufactured and distributed by Varian Medical Systems, Palo Alto, CA
Recall
- Recall Number
- Z-0544-2008
- Event Number
- 45520
- Firm
- Varian Medical Systems Inc
- FEI Number
- 2916710
- Product Code
- IYE
- Status
- Terminated
- Root Cause
- Labeling design
- Initiated
- September 10, 2007
- Posted
- February 14, 2008
- Terminated
- November 27, 2010
- Address
- 911 Hansen Way, Palo Alto, CA, 94304
Description
Varian brand Clinac, Accelerator, Linear, Medical charged-particle radiation therapy system: Model: High Energy Clinacs with one or more of the following options: -- BrainLAB micro MLC, -- 6MV SRS photon beam, -- Fine Beam Isocenter Accuracy, -- Stereotactic motion disable. ----Product is manufactured and distributed by Varian Medical Systems, Palo Alto, CA
Treatment Error: The collimator drive chain may break or slip off of its drive track, allowing the collimator to rotate freely without motor control; if undetected resulting in a treatment with the wrong collimator angle.
On 9/10/07, the firm issued an Urgent Medical Device Correction letter to all its direct consignees, informing them of the device defect and providing instructions on the recall. Short term user instructions were provided and the firm will schedule follow-up visits to make the needed permanent device corrections at each device site.
Worldwide- Canada, Mexico, and the USA
418 (total for Recalls Z-0544-0545-2008)