VERO Linear Accelerator System, Model Number MHI-TM2000, MHI Identifier M101-14021, Software Version: 3.1, 3.2 and 3.5.0.
This recall has been terminated (originally issued December 17, 2014).
- Recall Initiated
- December 2, 2014
- Posted
- December 17, 2014
- Terminated
- June 26, 2017
- Recall Number
- Z-0821-2015
- Quantity
- Domestic: 4 units
- Official Source
- View on FDA website ↗
Reason for Recall
Software Anomaly. The VERO MHI-TM2000 Operator Console may provide Patient Positioning System (ExacTrac) with Image Angle Information Used for the 1st Port Image, for a subsequent port image fusion. As the result, ExacTrac may display a Digitally Reconstructed Radiograph (DRR) image taken from the angle for the 1st port image fusion, rather than the one taken from the angle for the intended port
Distribution
US Distribution to the states of NY, FL, TX and OH.
Lot / Code Info
Serial Numbers: 201902, 203901, 203919, and 203924 (US only)
Root Cause
Software design
Action Taken
Mitsubishi sent a Field Safety Notice dated November 14, 2014, that was e-mailed to US end users on December 2, 2014, which provided actions to be taken by the end users. If users need any further information or support concerning this issue, they may contact MHI's Customer Service Representative, Brainlab AG in Germany, contact person: Franz Gum, Tel: +49-89-99-1568-0, Fax: +49-89-99-1568-33, E-mail: Franz.Gum@brainlab.com. If any other abnormality is detected, stop operation and contact MHI's Customer Service representative immediately. --- An Updated Field Safety Notice (dated December 4, 2014,) was sent to end users to correct some terms used in the initial notification.