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U.S. Department of Health and Human Services

Medical & Radiation Emitting Device Recalls

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 Class 2 Recall
Mevatron M-2 PRIMUS mid-energy
see related information
Date Posted February 14, 2008
Recall Number Z-0686-2008
Product Siemens Mevatron M-2 PRIMUS mid-energy Medical Charged-Particle Radiation Therapy System; (Interlock #51 Jaw Field Position) Model Number :1940035, Siemens Medical Solutions, Concord, CA 94520
Code Information Serial Numbers: 2507, 2512, 2515, 2516, 2521, 2524, 2526, 2527, 2532, 2573, 2593, 2596, 2611, 2613, 2622, 2644, 2647, 2678, 2689, 2692, 2695, 2699, 2702, 2705, 2722, 2735, 2738, 2745, 2758, 2765, 2767, 2791, 2792, 2794, 2806, 2814, 2816, 2817, 2834, 2845, 2847, 2857, 2875, 2898, 2901, 2906, 2913, 2921, 2929, 2955, 2959, 2961, 2962, 2965, 2968, 2974, 2988, 2995, 3009, 3013, 3016, 3018, 3055, 3057, 3061, 3071, 3078, 3082, 3084, 3089, 2443, 2458, 2469, 2473, 2475, 2476, 2499, 2501, 2503, 2504, 2534, 2545, 2548, 2549, 2551, 2552, 2554, 2556, 2559, 2565, 2566, 2583, 2597, 2618, 2619, 2625, 2642, 2653, 2668, 2673, 2675, 2677, 2684, 2688, 2704, 2706, 2709, 2717, 2719, 2737, 2744, 2746, 2748, 2755, 2789, 2795, 2798, 2799, 2802, 2803, 2804, 2809, 2822, 2831, 2838, 2852, 2861, 2865, 2868, 2876, 2879, 2881, 2884, 2886, 2888, 2895, 2915, 2926, 2932, 2935, 2946, 2947, 2949, 2953, 2969, 2971, 2977, 2981, 2982, 2983, 2984, 2998, 3001, 3006, 3012, 3015, 3048, 3052, 3054, 3056, 3059, 3062, 3065, 3086, 3088, 2449, 2455, 2471, 2495, 2497, 2529, 2576, 2604, 2655, 2707, 2712, 2728, 2736, 2759, 2772, 2778, 2843, 2853, 2873, 2925, 2999, 3035, 3038, 3051, 3063, 3073, 3083, 2465, 2506, 2511, 2517, 2522, 2523, 2543, 2572, 2626, 2628, 2669, 2696, 2698, 2747, 2752, 2818, 2835, 2927, 3045, 2666, and 2909,
Recalling Firm/
Manufacturer
Siemens Medical Solutions USA, Inc
4040 Nelson Ave
Concord, California 94520-1200
Reason for
Recall
Incorrect field size -- Products manufactured prior to 1999 may experience jaw field size errors during interlock resulting in potential mistreatment if a light field check is not performed. This problem is present in machines with serial numbers less than 3094, as they do not contain redundant sensors for jaw position.
Action The firm has sent consignees a Customer Safety Advisory Notice on August 7, 2007 informing them that a misplacement of the X and/or Y jaws can occur if interlock #51 Jaw Field Position is asserted and then cleared with the left-hand key rest. The firm recommends that if an interlock issue is encountered tha treatment of the patient be discontined until this issue is resolved.
Quantity in Commerce 213 units
Distribution Worldwide Distribution
 
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