RecallDepth

Acuity with Conebeam Computed Tomography; Radiation therapy simulation system; Model Number: H77.

This recall has been terminated (originally issued July 30, 2008).

Company
Varian Medical Systems Oncology Systems
Recall Initiated
January 3, 2008
Posted
July 30, 2008
Terminated
September 30, 2009
Recall Number
Z-1460-2008
Quantity
16 UNITS
Firm Location
Palo Alto, CA
Official Source
View on FDA website ↗

Reason for Recall

Incorrect Image Orientation: The image orientation tag may not be set correctly if the patient has been scanned with an orientation other than Head First Spine. When such images are imported to a treatment planning system, they may appear with either a mirrored or a rotated view.

Distribution

Worldwide Distribution--USA including states of CA, MA and PA, and countries of UK, Chile, Belgium, Canada and Germany.

Lot / Code Info

Serial Numbers: H770002-H780001, H770012-H780058, H770030-H780034, H770055-H780046, H770068-H780010, H770107-H780050, H770113-H780060, H770119-H780035, H770134-H780026, H770143-H780039, H770159-H780062, H770170-H780056, H770184-H780061, H770212-H780074, H770245-H780086 and H770279-H780105.

Root Cause

Software design

Action Taken

Consignees were notified by an Urgent Medical Device Correction letter issued on 02/05/2008. The letter provided recommended actions for users to follow in order to avoid the software error. The letter informed users that a service pack is being created to correct the issue and that the recalling firm will notify users when it becomes available. For additional information, contact 888-827-4265.

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