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Recall Observatory FDA recall evidence

Device product

adaPT insight (12C), v1.3.2, PAT.109 (US), Treatment room 4: I2C is used with a charged particle or photon radiation therapy system for localization of the patient position with respect to the therapy equipment and to provide correction feedback to the radiation therapy device.

Z-0836-2015

November 07, 2014

Class II

Product summary

Firm
Ion Beam Applications S.A.
Event
Event 69781
Status
Terminated
Classification
Class II
Quantity
1
Official record key
device-enforcement:Z-0836-2015

Official wording

Reason: Two issues were identified: 1. In the release of adaPT insight v1.3.2., the kV/kV Single Source acquisition workflow was linked to a wrong geometrical calibration file, resulting in an alignment offset for this specific mode of acquisition. 2. A gantry collision incident required the IBA service team to verify the gantry alignment and protons I x-ray beams colinearity, du

Code information: PAT.109 (US), Treatment room 4

Distribution pattern: US Distribution in PA only.

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    Two issues were identified: 1. In the release of adaPT insight v1.3.2., the kV/kV Single Source acquisition workflow was linked to a wrong geometrical calibration file, resulting in an alignment offset for this specific mode of acquisition. 2. A gantry collision incident required the IBA service team to verify the gantry alignment and protons I x-ray beams colinearity, du