Atlas FDA

Ximatron Digital Imaging (Ximavision), V 7.5.51 with Service Pack (SP), Oncology Information System, Varian Medical Syst

FDA device recall Z-0213-2008 · posted 2007-11-08 · Terminated

Recall details

Recalling firm
Varian Medical Systems Inc
Reason for recall
Unexpected loss of Treatement Field Add-Ons (Wedges, Blocks, etc) during Ximatron simulation. If an unapproved treatment field is created without an MLC, but with an add-on, the add on will be deleted without warning. If this is not detected and corrected, incorrect dose delivery will occur.
Action taken
The firm issued an Urgent Medical Device Correction letter to its customers by mail on June 25, 2007. It informed consignees of the anomaly in the software and workarounds for the issue. In addition, the firm also stated that they are currently validating a new software modification to repair the problem.
Root cause
Software design
Status
Terminated
Product code
KPQ
Quantity affected
14 units
Distribution
Worldwide Distribution-USA (MO and NY medical centers) and countries of Switzerland, Bahrain, Canada, France, Germany, Japan, Norway and Sweden.---
Date initiated
2007-06-25
Date posted
2007-11-08
Date terminated
2008-02-04
Location
Palo Alto, CA

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Related 510(k) clearances

RecordFirmDate
VARIAN/XIMATRON 5 CARBON-FIBER COUCH TOP (K851653)Varian Assoc., Inc.1985-05-23