ClearanceBrief
Recall Z-1931-2013 ยท IYE Accelerator, Linear, Medical

MITSUBISHI HEAVY INDUSTRIES, LTD., HIROSHIMA MACHINERY WORK

MHI-TM2000 Linear Accelerator System, Software Version 3.0.0 revision 13 or earlier; Proprietary and Trade Name: MHI-TM2000/ VERO (TM); Common Name: Medical Linear Accelerator. MHI-TM2000 Linear Accelerator System is intended for radiation therapy of lesions, tumors and conditions anywhere in the body where radiation treatment is indicated

DateAug 8, 2013 (initiated Jun 21, 2013)
StatusTerminated
ReasonSoftware anomaly: Mitsubishi Heavy Industries, Ltd. became aware of a potential safety issue associated with the VERO (TM) Linear Accelerator System. The VERO (TM) may save treatment delivery record into wrong location under certain conditions.
Root causeSoftware Design Change
ActionThe firm, Mitsubishi Heavy Industries, Ltd. (MHI), sent an "URGENT FIELD SAFETY NOTICE" letter dated June 21, 2013 to its customers. The letter described the product, problem and actions to be taken. The customers were instructed to do the following: If any minor failure occurs, please always press [ALARM RESET] button on operator console first; and if [EXIT] button is clicked after a minor failure occurs, please click [YES] on the pop up dialog to finish treatment completely. MHI is developing a correction for this issue. Tentatively planned availability date: End of October 2013. The correc
Quantity14 (2 in US)
DistributionWorldwide distribution: US (nationwide) including states of TX and FL; and countries of: Belgium, Italy, Japan and Korea.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K072047MHI-TM2000 LINEAR ACCELERATOR SYSTEM
Mitsubishi Heavy Industries, Ltd., Aug 29, 2007
K122450MHI-TM2000 LINEAR ACCELERATOR SYSTEM VERO IMAVIS
Mitsubishi Heavy Industries, Ltd., Oct 3, 2012