FDA Recall Terminated

SEQUENCER, MOSAIQ versions 1.3 and 1.4 with Elekta and Siemens Machines, Model number 40003-001000-RO, Manufactured by IMPAC Medical Systems, Sunnyvale, CA. Used to facilitate the delivery of defined radiotherapy treatment plans.

Recall: Z-1515-2008 · Initiated February 14, 2008

Recall

Recall Number
Z-1515-2008
Event Number
46941
Firm
Impac Medical Systems Inc
FEI Number
1000123805
Product Code
IYE
Status
Terminated
Root Cause
Software design
Initiated
February 14, 2008
Posted
August 16, 2008
Terminated
June 24, 2009
Address
100 Mathilda Pl, Fl 5th, Sunnyvale, CA, 94086-6076

Description

SEQUENCER, MOSAIQ versions 1.3 and 1.4 with Elekta and Siemens Machines, Model number 40003-001000-RO, Manufactured by IMPAC Medical Systems, Sunnyvale, CA. Used to facilitate the delivery of defined radiotherapy treatment plans.

Reason

Software issue may result in change to intended treatment field, potentially resulting in mistreatment.

Action

Firm issued field advisory to its consignees on 02/14/2008. Phone calls will also be made to affected customers to ensure reception and understanding of the field notification. Firm advises users with affected product to review the jaw positions of IMRT fields to ensure that they match the RT Plan after an Apply Limits or Machine Change occurs, until software at their site can be updated to the corrected version. A software patch is under construction.

Distribution

Worldwide Distribution --- USA including states of OH, OK, NJ, MN, OR, TN, NY, CA, AZ, NV, IA, GA, AL, MD, MI, PA, IN, WA, FL, TX, CO, and countries to Canada, Australia, Germany, Greece and Sweden.

Quantity

36 units