Device recalls

RefleXion X1 Radiotherapy System Model RXM1000 Software version 2.1.19-3 Radiation therapy system is a device that combines the functionali…

Reflexion Medical, Inc. · A potential dose error exists for patients treated with an out of session SCINTIX partial fraction.

Open, ClassifiedSoftware designZ-1933-2024
Open FDA's page for this record
Cfres ID
207500
Product res number
Z-1933-2024
Event date initiated
2024-04-16
Event date posted
2024-05-30
Recall status
Open, Classified
Res event number
94533
Product code
QVA
Firm FEI number
3011716550
Recalling firm
Reflexion Medical, Inc.
Address 1
25881 Industrial Blvd
City
Hayward
State
CA
Postal code
94545-2991
Additional info contact
Diana King 650-248-5714
Reason for recall
A potential dose error exists for patients treated with an out of session SCINTIX partial fraction.
Root cause description
Software design
Product quantity
7 systems
Distribution pattern
U.S.: CA, CT, NJ, OR, PA and TX No O.U.S.
Product description

RefleXion X1 Radiotherapy System Model RXM1000 Software version 2.1.19-3 Radiation therapy system is a device that combines the functionality of an emission computed tomography detection system and a linear accelerator.

Code info

Model Number: RXM1000 UDI Codes that includes system serial numbers: (01)00860003983812(11)230504(21)X11001 (01)00860003983812(11)230518(21)X11002 (01)00860003983812(11)230505(21)X11003 (01)00860003983812(11)230530(21)X11004 (01)00860003983812(11)230811(21)X11006 (01)00860003983812(11)230410(21)X11007 (01)00860003983812(11)230803(21)X11008

Action

On 04/29/2024, the firm sent an "Urgent: Medical Device Recall Safety Notification" via email to customer informing them that during internal dosimetric testing of SCINTIX OOS partials in periodic tracking mode, it was observed that the delivered dose error of the full fraction can exceed 5% with respect to the upper bound of one or more static volumes within the DVH in the plan (non-tracked, non-target volumes in the patient frame of reference, i.e., the planning CT). This was determined to be the result of a software defect associated with completing interrupted. Customers are instructed to: 1. Notify all clinical staff of this recall 2. Utilized the Clinical Guidance Document that is include with this notification. For questions or concerns - contact Service and Support at 650-239-9070 or email support@reflexion.com

Harmonized identifiers (openFDA)
Device name
Fludeoxyglucose F18-Guided Radiation Therapy System
Medical specialty description
Radiology
Regulation number
892.5060
Device class
2
K number
DEN220014, K252071
Registration number
3011716550
FEI number
3011716550
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