ClearanceBrief
Recall Z-1533-2010 ยท IWB System, Radiation Therapy, Radionuclide

Elekta, Inc.

Leksell Gamma Knife C

DateApr 29, 2010 (initiated Sep 1, 2006)
StatusTerminated
ReasonLeksell Gamma Knife C 1.2 with MCU version 4.0.0.6 improperly adjusted trolley for 4mm helmet caused jamming when helmet changer attempted to lock helmet. Lock did not fully engage and could still be raised. When the lock does not engage, then when the helmet changer rises, the helmet could disengage from the helmet changer and fall back onto the helmet trolley.
Root causeOther
ActionPhase 1 - Field Change Order FCO-DOC-06-0003 "Technical Note - Potential risk of dropping the collimator helmet" (dated Aug. 28, 2006) was sent to affected customers as notification of the problem. Phase 2 - Technical Notes Leksell Gamma Knife C version 1.2 (dated July 2006) "Important Notice - Potential risk of dropping the collimator helmet" was sent to all Elekta Service Engineers as notification of the problem. The firm planned to create an upgrade kit for the effected Leksell Gamma Knife C1.2 systems. A service representative from Elekta will contact each site to decide on a suitable
Quantity88 units
DistributionNationwide, Austria, Belgium, Canada, China, Croatia, Italy, Japan, Korea, Norway, Spain, Sweden, Taiwan and Turkey.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K984328LEKSELL GAMMA KNIFE TARGET SYSTEM, MODEL 24001
Elekta Instrument AB, May 21, 1999