RecallDepth

MEVION S250 Product Usage: Proton Radiation Therapy

Company
Mevion Medical Systems, Inc.
Recall Initiated
October 31, 2016
Posted
November 15, 2016
Terminated
June 29, 2017
Recall Number
Z-0409-2017
Quantity
6 units
Firm Location
Littleton, MA

Reason for Recall

Completing Setup Without Program Move Complete Can Cause An Isocenter Error

Distribution

US Nationwide in the states of FL, MO, NJ and OK

Lot / Code Info

Serial NUmbers: S250-0001 through S250-0006

Root Cause

Software design

Action Taken

Mevion issued an Important Safety Notice letter on October 31, 2016 to customers. The identified the affected product, problem, mitigation and advisory information. The letter informed customers that Mevion will release and install a software patch that removes the reliance on tracking isocenter changes for the correct reporting of the Couch position to the user displays and to the OIS. For further information mailto:srosenthal@mevion.com

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