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PTW UNIDOS webline: 1) REF T10023, 2) REF T10022 and 3) REF T10023 Firmware version 2.05. Dosimeter for radiation therap

FDA device recall Z-2439-2015 · posted 2015-08-21 · Terminated

Recall details

Recalling firm
PTW-Freiburg
Reason for recall
In some cases, especially with high dose-per-pulse-rates typical for particle (specifically proton) therapy, measuring errors can result. Individual measurement intervals can be lost that are not visible to the user when there is a high dose-per-pulse rate resulting in a too-low dose being displayed on the monitor. This could result in a radiation over-exposure.
Action taken
PTW issues Urgent Safety Notice due to an error with firmware version 2.05 of the UNIDOS webline in some cases, especially with the high dose-per-pulse-rates typical for particle therapy, measuring errors can result.
Root cause
Software design
Status
Terminated
Product code
IYE
Quantity affected
242 firmwares
Distribution
Distributed in CA, MI, MA, NC, NJ, NY, PA, TN, TX, PA & WI.
Date initiated
2015-05-27
Date posted
2015-08-21
Date terminated
2017-03-31
Location
Freiburg, Germany

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Related 510(k) clearances

RecordFirmDate
UNIDOS UNIVERSAL DOSIMETER MODEL 10002-WITH TNC CONNECTOR, 10005-WITH BNT CONNECTOR (K951764)Ptw-New York Corp.1995-10-07