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Recall Observatory FDA recall evidence

Device product

MEVION S250/MEVION S250i Proton Beam Radiation therapy system Product Usage: Indicated for the delivery of radiation for the treatment of patients with localized tumors or other conditions susceptible to treatment by radiation.

Z-2746-2018

June 29, 2018

Class II

Product summary

Firm
Mevion Medical Systems, Inc.
Event
Event 80615
Status
Terminated
Classification
Class II
Quantity
7
Official record key
device-enforcement:Z-2746-2018

Official wording

Reason: QFix has advised Mevion Medical Systems that they are identifying unauthorized combinations of QFix Couch Tops with non-QFix devices in clinical use. The kVue Oen Touch latch consists of a precision latch mechanism that can be damaged when used with incompatible (third-party) accessories. This can create unsafe conditions for use and may compromise the subsequent use of any kVue inserts, whether authorized or not. Use of unauthorized or unvalidated inserts may lead to an incorrect patient treatment or physical injury.

Code information: S250-0001 through S250-0006 and S250i-0007

Distribution pattern: US Nationwide Distribution in the states of DC, FL, MO, NJ, OH, and OK.

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    QFix has advised Mevion Medical Systems that they are identifying unauthorized combinations of QFix Couch Tops with non-QFix devices in clinical use. The kVue Oen Touch latch consists of a precision latch mechanism that can be damaged when used with incompatible (third-party) accessories. This can create unsafe conditions for use and may compromise the subsequent use of any kVue inserts, whether authorized or not. Use of unauthorized or unvalidated inserts may lead to an incorrect patient treatment or physical injury.