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Recall Observatory FDA recall evidence

Device product

RefleXion X1 Radiotherapy System Model RXM1000, Part #800-00006-00

Z-1656-2026

February 09, 2026

Class II

Product summary

Firm
Reflexion Medical, Inc.
Event
Event 98518
Status
Ongoing
Classification
Class II
Quantity
12
Official record key
device-enforcement:Z-1656-2026

Official wording

Reason: Due to a radiotherapy medical system software defect, when performing angular roll corrections followed by a repeat localization, the roll corrections applied in the initial localization scan are not carried through to treatment delivery leading to the treatment plan dose being delivered to the incorrect location, potentially a displacement of 5mm or higher, with a 10% to 20% underdose.

Code information: Software Version: 2.1.29-4 and Software Version: 2.1.35-1. UDI: (01)00860003983812(11)230504(21)X11001, (01)00860003983812(11)230518(21)X11002, (01)00860003983812(11)230505(21)X11003, (01)00860003983812(11)230530(21)X11004, (01)00860003983812(11)230811(21)X11006, (01)00860003983812(11)230410(21)X11007, (01)00860003983812(11)230803(21)X11008, (01)00860003983812(11)240528(21)X11009, (01)00860003983812(11)240820(21)X11010, (01)00860003983812(11)241107(21)X11011, (01)00860003983812(11)241206(21)X11012, (01)00860003983812(11)250731(21)X11013.

Distribution pattern: US: CA, TX, PA, CT, NJ, OR, LA, OH

Derived failure modes

  • Device software or design

    reason.device_software_design · v1.0.0

    software defect