Leksell Gamma Knife C
This recall has been terminated (originally issued April 29, 2010).
- Company
- Elekta, Inc.
- Recall Initiated
- September 1, 2006
- Posted
- April 29, 2010
- Terminated
- December 14, 2010
- Recall Number
- Z-1533-2010
- Quantity
- 88 units
- Firm Location
- Norcross, GA
- Official Source
- View on FDA website ↗
Reason for Recall
Leksell Gamma Knife C 1.2 with MCU version 4.0.0.6 improperly adjusted trolley for 4mm helmet caused jamming when helmet changer attempted to lock helmet. Lock did not fully engage and could still be raised. When the lock does not engage, then when the helmet changer rises, the helmet could disengage from the helmet changer and fall back onto the helmet trolley.
Distribution
Nationwide, Austria, Belgium, Canada, China, Croatia, Italy, Japan, Korea, Norway, Spain, Sweden, Taiwan and Turkey.
Lot / Code Info
4149, 4150, 4151, 4157, 4158, 4160, 4151, 4165, 4168, 4171, 4175, 4176, 4178, 4183, 4187, 4189, 4191, 4193, 4194, 4195, 4196, 4197, 4199, 4201, 4202, 4204, 4207, 4208, 4212, 4300, 4302, 4303, 4306, 4307, 4308, 4309, 4313, 4314, 4315, 4318, 4319, 4321, 4322, 4326, 4328, 4329, 4334, 4337, 4802, 4809, 4816, 4817, 4818, 4824, 4828, 4830, 5000, 5003, 5006, 5009, 5010, 5001, 4803, 4310, 4210, 4311, 4330, 5004, 5014, 4305, 4320, 4317, 4324, 4325, 5011, 5012, 4304, 4316, 5002, 5007, 5008, 5013, 4819, 4806, 5005, 4301, 4323, 4312
Root Cause
Other
Action Taken
Phase 1 - Field Change Order FCO-DOC-06-0003 "Technical Note - Potential risk of dropping the collimator helmet" (dated Aug. 28, 2006) was sent to affected customers as notification of the problem. Phase 2 - Technical Notes Leksell Gamma Knife C version 1.2 (dated July 2006) "Important Notice - Potential risk of dropping the collimator helmet" was sent to all Elekta Service Engineers as notification of the problem. The firm planned to create an upgrade kit for the effected Leksell Gamma Knife C1.2 systems. A service representative from Elekta will contact each site to decide on a suitable implementation schedule.