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Recall Observatory FDA recall evidence

Device product

Pinnacle3 Software Version 10.0, Model 459800200841. Product Usage: The Pinnacle 3 RTP software allows qualified medical professionals to enter patient data into the system, use that data to construct a plan for radiation therapy and evaluate the plan. Optionally, the qualified medical personnel may output the plan in an electronic or printed form for use by other systems in the delivery of treatment to a patient.

Z-1643-2015

April 23, 2015

Class II

Product summary

Firm
Philips Medical Systems, Inc.
Event
Event 71117
Status
Terminated
Classification
Class II
Quantity
4
Official record key
device-enforcement:Z-1643-2015

Official wording

Reason: A problem (the dose computed in planning mode is calculated incorrectly ) has been detected in the Philips Pinnacle3 software version 10.0 that, if it were to re-occur, could pose a risk for patients or users. Specifically, the dose engine is being passed the wrong snout position. The snout position is used to determine the penumbra of the beam which includes the calculation of the source si

Code information: "System Code S/N" 1439NML05A, 1117FMM025, DC090775040, 1117FMM03J.

Distribution pattern: US Nationwide Distribution in the states of MO, FL, OH

Derived failure modes

  • Device software or design

    reason.device_software_design · v1.0.0

    software version 10.0 that, if it were to re-occur, could