ClearanceBrief
Recall Z-0802-2014 ยท IYE Accelerator, Linear, Medical

Civco Medical Instruments Inc

Civco Belly Board, Reusable non-sterile carbon fiber belly board with cushion, REF 125012, packaged 1 per box. Product Usage: This device is intended to reduce the irradiated small bowel volume of gynecological patients undergoing treatment in the pelvic region.

DateJan 21, 2014 (initiated Oct 25, 2013)
StatusTerminated
ReasonScales adhered to the product may be misaligned from the zero reference such that one side will not match the other.
Root causeDevice Design
ActionCivco Medical Instruments Inc sent a FIELD SAFETY NOTIFICATION letter dated October 28, 2013 via UPS to their customers. The notification identified the affected device, problem, and field safety corrective action. The letter describes how customers can check to see whether the scales on their device are out of alignment. The letter states CIVCO will rework the system to correct the difference. For questions contact sales representative at CIVCO Medical Solutions, Radiation Oncology at 800-842-8688 or 712-737-8688.
Quantity138 belly boards
DistributionWorldwide Distribution - USA Nationwide in the states of AL, AR, AZ, CA, CO, CT, FL, GA, IL, KS, MA, MD, MI, MN, MT, NC, NJ, NY, OH, OK, PA, SC, TN, TX, VA, WA, WI, and WV. Foreign distribution was made to Brazil, Canada, Chile, Czech Republic, France, Germany, Iraq, Israel, Italy, Japan, Malaysia,
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K121545BELLYBOARD, SBRT ACCESSORIES
Medtec Inc. Dba Civco Medical Solutions, Jun 8, 2012