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TomoTherapy Hi-ART System, Model # H-0000-0003 Intended to be used as an integrated system for the planning and precise

FDA device recall Z-1649-2011 · posted 2011-03-14 · Terminated

Recall details

Recalling firm
TomoTherapy Incorporated
Reason for recall
It was determined that the Treatment Planning Station (TPS) can potentially under dose.
Action taken
Consignees were sent a TomoTherapy "Field Safety Notice Medical Device Correction" letter dated January 26, 2011. The letter was addressed to "TomoTherapy Customer". The letter described the Planning Issue, Related DQA Consideration, Graphical Presentation of Results, Product Affected, Recommended Action and Resolution. The letter suggests to use the information presented in order to avoid creating plans with an increased potential for discrepancies in planned vs. delivered dose. Specifically include measurements for small, off-axis targets that could be susceptible to the effects of this issue. DQA dose measurements should be performed at each unique full fraction dose that will be used for patient treatment, without using DQA scaling. If Customers have any questions they are to contact TomoTherapy Interaction Center by email or phone.
Root cause
Software design
Status
Terminated
Product code
MUJ
Quantity affected
326
Distribution
Worldwide Distribution -- US, including States of: AL, AK, AZ, AR, CA, CO, CT, DC, FL, GA, HI, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MO, MT, NE, NV, NJ, NM, NY ,NC, ND,OH, OK OR, PA, PR, SC, SD, TN,
Date initiated
2011-01-26
Date posted
2011-03-14
Date terminated
2014-03-18
Location
Madison, WI

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Related 510(k) clearances

RecordFirmDate
MODIFICATION TO HI-ART TREATMENT SYSTEM (K082005)Tomotherapy Incorporated2008-08-25