ClearanceBrief
Recall Z-1492-2014 ยท LHN System, Radiation Therapy, Charged-Particle, Medical

Ion Beam Applications S.A.

Proteus 235 Proton Therapy System Legacy Software version 7.2.7 and higher, models 110, 112, 113, and 116. Proton therapy

DateApr 24, 2014 (initiated Dec 4, 2013)
StatusTerminated
ReasonInternal testing of the Proteus 235 Proton Therapy System revealed incorrect dose rate calculation in case of beam line option other than Zero (0).
Root causeSoftware design
ActionIon Beam Applications ( IBA) sent a recall notification letter dated on/about December 5, 2013, to all affected customers. The letter identified the product the problem and the action needed to be taken by the customer. Short term action: A user notice (see annex 1) has been sent to impacted sites where the affected legacy PTS software version was delivered. This user notice explains the workaround required to be put in place in order to fully mitigate the risk and the 1BA action plan to permanently fix this issue. Corrective action: A patch on the PTS Legacy SW was requested and in impleme
Quantity4
DistributionUS Distribution including the states of OK, IL, NJ, and WA.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K082416IBA PROTON THERAPY SYSTEM- PROTEUS 235
Ion Beam Applications S.A., Dec 12, 2008