RecallDepth

Pinnacle3 Software Version 10.0, Model 459800200841. Product Usage: The Pinnacle 3 RTP software allows qualified medical professionals to enter patient data into the system, use that data to construct a plan for radiation therapy and evaluate the plan. Optionally, the qualified medical personnel may output the plan in an electronic or printed form for use by other systems in the delivery of treatment to a patient.

This recall has been terminated (originally issued May 21, 2015).

Company
Philips Medical Systems, Inc.
Recall Initiated
April 23, 2015
Posted
May 21, 2015
Terminated
October 5, 2016
Recall Number
Z-1643-2015
Quantity
4
Firm Location
Andover, MA
Official Source
View on FDA website ↗

Reason for Recall

A problem (the dose computed in planning mode is calculated incorrectly ) has been detected in the Philips Pinnacle3 software version 10.0 that, if it were to re-occur, could pose a risk for patients or users. Specifically, the dose engine is being passed the wrong snout position. The snout position is used to determine the penumbra of the beam which includes the calculation of the source si

Distribution

US Nationwide Distribution in the states of MO, FL, OH

Lot / Code Info

"System Code S/N"  1439NML05A, 1117FMM025, DC090775040, 1117FMM03J.

Root Cause

Software design

Action Taken

Philips Healthcare sent a "Field Safety Notification PROST-T-300-01-06" letter dated 20 April 2015 to their customers. The letter described the Problem Description, Hazard Involved, How to Identify Affected Products, Action to be Taken by Customer / User, Actions Planned by Philips and Further Information and Support (Contact Philips Customer Care Solutions Center at 1-800-722-9377).

More recalls by Philips Medical Systems, Inc.

View all recalls by this company →