RecallDepth

XiO Radiation Treatment Planning System, XiO Release 4.50.00 and above

This recall has been terminated (originally issued June 20, 2011).

Company
Computerized Medical Systems Inc
Recall Initiated
May 19, 2010
Posted
June 20, 2011
Terminated
April 2, 2014
Recall Number
Z-2604-2011
Quantity
57
Firm Location
Maryland Heights, MO
Official Source
View on FDA website ↗

Reason for Recall

XiO Software: when a treatment machine is defined in Source File Maintenance (SFM), the MLC Model is set to Elekta, and beams using this treatment machine are added to a new plan in Teletherapy, XiO automatically adds an MLC to the beam. This is because the Elekta linac will always have an MLC in place when the plan is actually delivered.

Distribution

Nationwide distribution to medical facilities including Puerto Rico. Distribution was also made to two Military and Government consignees. Foreign distribution was made to Australia, Belgium, Brazil, Canada, Colombia, France, India, Ireland, Israel, Italy, Malaysia, Netherlands, Philippines, Poland, Spain, and United Kingdom.

Lot / Code Info

XiO Release 4.50.00 and above

Root Cause

Software design

Action Taken

A Safety Notice, dated 5/20/10, was sent to Elekta / Computerized Medical Systems Inc clients in May 2010. The notice indicates the problem, the clinical impact. The notice states a future XiO Release will resolve the issue. A return postcard is included with the mailing to verify consignee received the notice. For sites not returning the postcard by 5/28/10, the recalling firm will contact them via phone or email to confirm receipt of the notice. The notice also informed the consignees they would be contacted when a solution was available.

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