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Recall Observatory FDA recall evidence

Device product

Proteus 235-Proton Therapy System

Z-2155-2021

May 26, 2021

Class II

Product summary

Firm
Ion Beam Applications S.A.
Event
Event 88196
Status
Ongoing
Classification
Class II
Quantity
5 US; 8 OUS
Official record key
device-enforcement:Z-2155-2021

Official wording

Reason: if the user forgets to select the trigger input manually while beam gating is prescribed for the patient, the proton irradiation will be delivered without gating. If the beam is not gated as prescribed, the treatment field may be delivered with an error in position

Code information: Serial Numbers: PAT.107 (EU), PAT.108 (US), PAT.109 (US), PAT.115 (EU), SAT.117 (EU), SAT.118 (RU), SAT.119 (US), SAT.120 (EU), SAT.122 (EU), SAT.125 (IN), SAT.126 (US), SAT.132 (EU), SAT.133 (US).

Distribution pattern: FL, PA, TN, TX, VA Foreign: Germany, Italy, Russia, Sweden , India, Netherlands

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    if the user forgets to select the trigger input manually while beam gating is prescribed for the patient, the proton irradiation will be delivered without gating. If the beam is not gated as prescribed, the treatment field may be delivered with an error in position