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Recall Observatory FDA recall evidence

Device product

VERO Linear Accelerator System, Model Number MHI-TM2000; Common Name: Medical Linear Accelerator. MHI-TM2000 Linear Accelerator System is intended for radiation therapy of lesions, tumors and conditions anywhere in the body where radiation treatment is indicated.

Z-2653-2014

July 05, 2014

Class II

Product summary

Firm
MITSUBISHI HEAVY INDUSTRIES, LTD., HIROSHIMA MACHINERY WORK
Event
Event 68909
Status
Terminated
Classification
Class II
Quantity
3 units in use in the US
Official record key
device-enforcement:Z-2653-2014

Official wording

Reason: Software Anomaly: If a user changes the calendar setting from Workday to Holiday or vice versa, that would erroneously change the status of treatment/fractions, which are completed and to become Treated (completed) status on the exact day when such change is made, to Untreated status. Furthermore, such treatment would be cloned and mistakenly added to the schedule as Untreated treatment

Code information: Software Version 3.0.0 and after. Serial Numbers 201902, 203901, and 203919

Distribution pattern: Distributed in the states of NY, FL, and TX.

Derived failure modes

  • Device software or design

    reason.device_software_design · v1.0.0

    Software Anomaly