RecallDepth

Varis Vision Treatment 6.6/RTP Exchange/Siemens Accelerators

This recall has been terminated (originally issued August 5, 2006).

Company
Varian Medical Systems Oncology Systems
Recall Initiated
September 20, 2005
Posted
August 5, 2006
Terminated
November 21, 2006
Recall Number
Z-1375-06
Quantity
58 units
Firm Location
Palo Alto, CA
Official Source
View on FDA website ↗

Reason for Recall

A software anomaly may occur which can lead to patient treatment with the wrong field. The anomaly is reported only to occur when this software version (6.6.5022) is used with Elekta or Siemens linear accelerators .

Distribution

The product was distributed to 34 consignees, located in AZ, CA, MA, MI, NC, PA in the USA, and in Australia, Belgium, Canada, Denmark, Finland, France, Germany, Italy, Lithuania, Spain, Sweden, and the United Kingdom

Lot / Code Info

H462074, H462000, H462003, H462004, H462005, H462006, H462011, H462012, H462013, H462014, H462015, H462016, H462017, H462018, H462019, H462020, H462021, H462022, H462023, H462024, H462025, H462026, H462027, H462028, H462029, H462031, H462040, H462045, H462047, H462048, H462049, H462050, H462051, H462052, H462054, H462055, H462057, H462059, H462060, H462061, H462064, H462065, H462066, H462067, H462068, H462072, H462073, H462075, H462076, H462077, H462079, H462082, H462083, H462084, H462085, H462086, H462087

Root Cause

Software design

Action Taken

On 09/20/2005, Varian Medical Systems issued a notification letter via certified mail and FedEx. These letters were issued with instructions on what to do regarding the corrections. Varian Medical Systems intends to release new, updated software.

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