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Recall Observatory FDA recall evidence

Device product

ExacTrac Dynamic (Medical Charged-Particle Radiation Therapy System).

Z-1185-2021

March 01, 2021

Class II

Product summary

Firm
Brainlab AG
Event
Event 87395
Status
Terminated
Classification
Class II
Quantity
73 ExacTrac Dynamic systems (versions 1.0.0, 1.0.1, 1.0.2) have been manufactured and distributed
Official record key
device-enforcement:Z-1185-2021

Official wording

Reason: In case of a failed automatic marker detection, a software error causes parts of the display to incorrectly behave as if the current patient position is within predefined tolerances and may allow the user to proceed to treatment despite potentially exceeding shift values.

Code information: Model/catalogue numbers: 20910-06 ETD Implanted lic. UDI: The GTIN for ExacTrac Dynamic version 1.0 is 04056481142315. GMDN code: 40887. Software revisions of affected ExacTrac Dynamic software: versions 1.0.0, 1.0.1, 1.0.2.

Distribution pattern: USA: (CA, NJ, AZ, AR, NY, IN, OR, NC), Australia, Austria, Belgium, Denmark, France, Germany, Hong Kong, Italy, Slovakia, Spain, Thailand, Turkey, United Kingdom, United Arab Emirates.

Derived failure modes

  • Device software or design

    reason.device_software_design · v1.0.0

    software error