Atlas FDA

ViewRay System, Radiation Therapy System

FDA device recall Z-1580-2015 · posted 2015-05-05 · Terminated

Recall details

Recalling firm
Viewray Incorporated
Reason for recall
The software was not correctly using the RT (Radiation Therapy) to MR (Magnetic Resonance image) coordinate correction for non HFS (Head First Supine) patient orientations, resulting in slice mismatch error.
Action taken
On January 15, 2014, ViewRay personnel discussed the investigation of the issue (slice mismatch error) with the customer. The firm advised the customer that until the issue was corrected, to not treat patients in non HFS orientations, or to use the MR acquired from the ViewRay system as the primary plan series for non HFS scans. ViewRay installed software version 3.4.5.28 on January 20 and 21, 2014, in order to prevent this slice mismatch error from occurring in any patient position.
Root cause
Software Design Change
Status
Terminated
Product code
IYE
Quantity affected
1
Distribution
US distribution to MO.
Date initiated
2015-01-15
Date posted
2015-05-05
Date terminated
2015-09-23
Location
Oakwood Village, OH

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