FDA Recall Terminated

PROBEAT WITH DISCRETE SPOT SCANNING SYSTEM Product Usage: Hitachi PROBEAT with DSSS is a medical device designed to produce and deliver a proton beam for the treatment of patients with localized tumors and other conditions susceptible to treatment by radiation.

Recall: Z-1838-2015 · Initiated April 21, 2015

Recall

Recall Number
Z-1838-2015
Event Number
71056
Firm
Hitachi America, Ltd., Power Systems Division
FEI Number
3003993895
Product Code
LHN
Status
Terminated
Root Cause
Device Design
Initiated
April 21, 2015
Posted
July 18, 2015
Terminated
March 24, 2016
Address
1840 Old Spanish Trl, Houston, TX, 77054-2002

Description

PROBEAT WITH DISCRETE SPOT SCANNING SYSTEM Product Usage: Hitachi PROBEAT with DSSS is a medical device designed to produce and deliver a proton beam for the treatment of patients with localized tumors and other conditions susceptible to treatment by radiation.

Reason

At a PROBEAT III site installed in Japan, the operator of the system found that the radiation was delivered inconsistent with the treatment plan and stopped the irradiation. The irradiation control system may be potentially affected when rebooting a part of the control system.

Action

The recalling firm notified the one consignee about the incident that occurred in Japan on 4/7/15, then gave them an update on 4/13/15 and 4/21/15. The written notification had details for the consignee on how to prevent the device from malfunctioning. The recalling firm also had held conversations with the consignee to discuss the issue and revised work instructions via telephone conference and on site Hitachi personnel.

Distribution

Distribution in US (Texas) and Japan

Quantity

3