RecallDepth

Proteus 235 Product Usage: The Proton Therapy System - Proteus 235 (brand names: Proteus Plus and Proteus ONE) is a medical device designed to produce and deliver a proton beam for the treatment of patients with localized tumors and other conditions susceptible to treatment by radiation. The PTS may include a fixed small beam treatment room dedicated to the treatment of patients with localized tumors and other conditions susceptible to treatment by radiation localized to the head and neck.

This recall has been terminated (originally issued December 12, 2018).

Company
Ion Beam Applications S.A. Chemin Du Cyclotron 3 Louvain-La-Neuve Belgium
Recall Initiated
December 12, 2018
Terminated
April 15, 2020
Recall Number
Z-0698-2019
Quantity
7
Official Source
View on FDA website ↗

Reason for Recall

There is a risk of detachment of the Compact Gantry Rolling Floor.

Distribution

Worldwide Distribution - US Nationwide in the states of LA and MI. Foreign distribution to France, Japan, and UK.

Lot / Code Info

SAT.123, SBF.101, SBF.103, SBF.104, SBF.105, SBF.107, SBF.109

Root Cause

Device Design

Action Taken

On December 12, 2018, the firm notified its customers of the recall via an Urgent Medical Device Correction letter. Customers were informed of the product issue. Customers were reminded that nobody should stand on the rolling floor when the gantry is rotating, as specified in the Clinical User Guide. The recalling firm stated they would take the following actions: Short-term action: IBA will replace the rod end bearings attaching the cGRF to the nozzle via a preventive maintenance on all ProteusONE sites. Long-term action: A new design of the anchoring system of the cGRF to the nozzle will be deployed on all impacted sites via an upgrade kit by end of October 2019. Customers with questions should contact Sylviane BERGER Vigilance@iba-group.com +32 10 203 787, or Helpdesk +32 2 507 20 81 (available 24/7)

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