ClearanceBrief
Recall Z-1515-2008 ยท IYE Accelerator, Linear, Medical

Impac Medical Systems Inc

SEQUENCER, MOSAIQ versions 1.3 and 1.4 with Elekta and Siemens Machines, Model number 40003-001000-RO, Manufactured by IMPAC Medical Systems, Sunnyvale, CA. Used to facilitate the delivery of defined radiotherapy treatment plans.

DateAug 16, 2008 (initiated Feb 14, 2008)
StatusTerminated
ReasonSoftware issue may result in change to intended treatment field, potentially resulting in mistreatment.
Root causeSoftware design
ActionFirm issued field advisory to its consignees on 02/14/2008. Phone calls will also be made to affected customers to ensure reception and understanding of the field notification. Firm advises users with affected product to review the jaw positions of IMRT fields to ensure that they match the RT Plan after an Apply Limits or Machine Change occurs, until software at their site can be updated to the corrected version. A software patch is under construction.
Quantity36 units
DistributionWorldwide Distribution --- USA including states of OH, OK, NJ, MN, OR, TN, NY, CA, AZ, NV, IA, GA, AL, MD, MI, PA, IN, WA, FL, TX, CO, and countries to Canada, Australia, Germany, Greece and Sweden.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K981313SEQUENCER
Impac Medical Systems, Inc., Jul 9, 1998