Class 2 Device Recall AdvantageSim MD

• Date Initiated by Firm: February 02, 2009
• Date Posted: August 17, 2009
• Recall Status: Terminated on December 10, 2011
• Recall Number: Z-1718-2009
• Recall Event ID: 51322
• 510(K)Number: K052345
• Product Classification: System, simulation, radiation therapy - Product Code KPQ
• Product: AdvantageSim MD versions 7.4 through 7.6, Model 5160092. ; ; AdvantageSim MD is used to prepare geometric and anatomical data relating to a proposed external beam radiotherapy treatment prior to dosimetry planning.
• Code Information: Serial Numbers: 00000118329GE2, 00000142883GE8, 00000142882GE0, 00000111103GE8, 00000051589GE0, 00000108666GE9, 00000127664GE1, 00000068379GE7, 00000073497GE0, 00000142884GE6, 00000051586GE6, 00000113886GE6, 00000080150GE6, 00000124934GE1, 00000073489GE7, 00000098605GE9, 00000106869GE1, 00000090499GE5, 00000090489GE6, 00000076519GE8, 00000080672GE9, 00000080481GE5, 00000134781GE4, 00000134782GE2, 00000132360GE9, 00000134789GE7, 00000069359GE8, 00000069362GE2, 00000138883GE4, 00000051665GE8, 00000051666GE6, 00000100844GE0, 00000061315GE8, 00000090495GE3, 00000076526GE3, 00000051583GE3, 00000051584GE1, 00000052631GE9, 00000109919GE1, 00000114863GE4, 00000109867GE2, 00000081296GE6, 00000108668GE5, 00000142879GE6, 00000068377GE1, 00000142878GE8, 00000138880GE0, 00000140659GE4, 00000112963GE4, 00000069347GE3, 00000134783GE0, 00000138888GE3, 00000118327GE6, 00000121720GE7, 00000109866GE4, 00000090496GE1, 00000081289GE1, 00000073483GE0, 00000106871GE7, 00000076518GE0, 00000068372GE2, 00000082782GE4, 00000108670GE1, 00000069349GE9, 00000123789GE0, 00000076517GE2, 00000124941GE6, 00000100849GE9, 00000063726GE4, 00000098601GE8, 00000096093GE0, 00000051671GE6, 00000090492GE0, 00000132361GE7, 00000132362GE5, 00000076522GE2, 00000098594GE5, 00000069364GE8, 00000069356GE4, 00000123785GE8, 00000076525GE5, 00000108669GE3, 00000069352GE3, 00000134784GE8, 00000096086GE4, 00000096085GE6, 00000111717GE5, 00000090490GE4, 00000076530GE5, 00000073487GE1, 00000144927GE1, 00000127009GE9, 00000081294GE1, 00000132363GE3, 00000090482GE1, 00000134787GE1, 00000121724GE9, 00000082784GE0, 00000051588GE2, 00000051679GE9, 00000064017GE7, 00000098249GE6, 00000100846GE5, 00000081291GE7, 00000121726GE4, 00000081293GE3, 00000132365GE8, 00000100842GE4, 00000080479GE9, 00000062503GE8, 00000069346GE5, 00000112961GE8, 00000112960GE0, 00000127668GE2, 00000051585GE8, 00000056501GE0, 00000121718GE1, 00000068386GE2, 00000113885GE8, 00000106449GE2, 00000106452GE6, 00000113882GE5, 00000123786GE6, 00000080277GE7, 00000079710GE0, 00000134788GE9, 00000067041GE4, 00000112967GE5, 00000090498GE7, 00000100843GE2, 00000080276GE9, 00000096087GE2, 00000123790GE8, 00000080149GE8, 00000132367GE4, 00000142880GE4, 00000123791GE6, 00000090480GE5, 00000069350GE7, 00000079707GE6, 00000079706GE8, 00000090484GE7, 00000140655GE2, 00000124935GE8, 00000121725GE6, 00000111106GE1, 00000113883GE3, 00000108665GE1, 00000138882GE6, 00000090494GE6, 00000069363GE0, 00000051672GE2, 00000076523GE0, 00000076521GE4, 00000112964GE2, 00000082781GE6, 00000106868GE3, 00000121722GE3, 00000108672GE7, 00000068389GE6, 00000073496GE2, 00000076529GE7, 00000081297GE4, 00000081298GE2, 00000140662GE8, 00000118330GE0, 00000056499GE7, 00000109869GE8, 00000109864GE9, 00000108673GE5, 00000108674GE3, 00000109862GE3, 00000109863GE1, 00000051581GE7, 00000051582GE5, 00000051590GE8, 00000082778GE2, 00000068388GE8, 00000138884GE2, 00000068380GE5, 00000111713GE4, 00000079709GE2, 00000073495GE4, 00000098597GE8, 00000138885GE9, 00000068375GE5, 00000048215GE8, 00000085515GE5, 00000118332GE6, 00000106875GE8, 00000111104GE6, 00000138889GE1, 00000100837GE4, 00000124940GE8, 00000114867GE5, 00000118328GE4, 00000069351GE5, 00000081290GE9, 00000051587GE4, 00000140657GE8, 00000111716GE7, 00000114866GE7, 00000111105GE3, 00000068381GE3, 00000081295GE8, 00000121721GE5, 00000100841GE6, 00000144925GE5, 00000109865GE6, 00000080675GE2, 00000096084GE9, 00000082787GE3, 00000073492GE1, 00000073491GE3, 00000082785GE7, 00000069357GE2, 00000090486GE2, 00000069361GE4, 00000098582GE9, 00000068376GE3, 00000138881GE8, 00000106451GE8, 00000106450GE0, 00000111712GE6, 00000111711GE8, 00000121719GE9, 00000106870GE9, 00000145024GE6, 00000073490GE5, 00000144923GE0, 00000127666GE6, 00000073485GE5, 00000073486GE3, 00000100836GE6, 00000106872GE5, 00000114868GE3, 00000111715GE9, 00000100838GE2, 00000098604GE2, 00000069358GE0, 00000062502GE0, 00000068374GE8, 00000134785GE5, 00000112968GE3, 00000051667GE4, 00000064212GE4, 00000056504GE4, 00000098609GE1, 00000138887GE5 00000124938GE2, 00000114871GE7, 00000114870GE9, 00000127667GE4, 00000098600GE0, 00000098596GE0, 00000076531GE3, 00000098598GE6, 00000068391GE2, 00000068390GE4, 00000116935GE8, 00000051673GE2, 00000069360GE6, 00000111102GE0, 00000090488GE8, 00000090481GE3, 00000140660GE2, 00000080674GE5, 00000138886GE7, 00000012766GE3, 00000082780GE8, 00000118326GE8, 00000106448GE4, 00000108671GE9, 00000142885GE3, 00000076520GE6, 00000085513GE0, 00000127013GE1, 00000085514GE8, 00000056503GE6, 00000113881GE7, 00000109868GE0, 00000112965GE9, 00000123784GE1, 00000080483GE1, 00000140656GE0, 00000108667GE7, 00000080676GE0, 00000112962GE6, 00000068373GE0, 00000044657GE5, 00000069353GE1, 00000106873GE3, 00000067040GE6, 00000068382GE1, 00000068385GE4, 00000051669GE0, 00000068384GE7, 00000056500GE2, 00000051668GE2, 00000068383GE9, 000000D7295001, 000000B8324003, 000000L7269001, 00000054161AW5, 00000054240AW7, 00000054242AW3, 000000J7254003, 000000J8114001, 00000031588AW7, 000000Q8148002, 00000053657AW3, 00000098599GE4, 00000106876GE6, 000000C7235001, 000000X8283001, 000000X8283002, 000000S8066001, 000000U8060001, 000000N8281001, 000000P8248001, 000000T8252001, 000000N8281002, 00000031565AW5, 00000031578AW8, 00000054234AW0, 00000054239AW9, 00000054177AW1, 00000054175AW5, 00000031566AW3, 00000031577AW0, 000000Y7169004, 000000T8038001, 00000053672AW2, 000000S8343001, 000000J7254001, 00000054162AW3, 00000054244AW9, 00000054246AW4, 00000054215AW9, 00000054237AW3, 00000054192AW0, 00000054198AW7, 00000054170AW6, 00000054185AW4, 00000054184AW7, 000000G7346001, 000000Q8140006, 000000V8109004, 000000P7327002, 00000054155AW7, 000000K8295006, 000000K8021003, 00000031585AW3, 00000031572AW1, 00000031576AW2, 00000031556AW4, 00000031560AW6, 00000031580AW4, 00000031589AW5, 00000031608AW3, 00000054160AW7, 00000031579AW6, 00000054221AW7, 00000031597AW8, 00000054245AW6, 00000053662AW3, 00000054232AW4, 00000054231AW6, 00000054171AW4, 00000054191AW2, 000000Y7169001, 000000H7174001, 00000053670AW6, 00000054233AW2, 000000L7269004, 000000N7311003, 000000N7311002, 000000N8028001, 000000K8021004, 000000D7222002, 000000K8036001, 000000X8063001, 000000K8021001, 000000L7235002, 000000V8109001, 000000G8256002, 000000K8213001, 000000K7316001, 000000K8021002, 000000Q8340001, 000000B8324002, 000000C8242001, 00000054169AW8, 000000Q7351004, 00000054220AW9, 00000054200AW1, 000000L7235005, 00000054197AW9, 000000Q8140002, 000000A8049001, 000000L7235001, 00000054168AW0, 00000054164AW9, 000000Q8140004, 00000054229AW0, 00000031602AW6, 00000031604AW2, 00000031603AW4, 00000031605AW9, 00000031594AW5, 00000031601AW8, 00000031598AW6, 00000031599AW4, 00000053660AW7, 00000054151AW6, 00000053666AW4, 00000031600AW0, 00000054241AW5, 000000E7298002, 000000N7271002, 000000E7298001, 000000N7271001, 000000E7298003, 000000U8203003, 00000031557AW2, 00000031561AW4, 00000031559AW8, 00000054159AW9, 00000054188AW8, 000000L7235004, 000000J8114002, 000000V8109003, 000000J8114003, 00000054154AW0, 00000054219AW1, 000000K7316002, 00000054167AW2, 00000053650AW8, 00000031569AW7, 00000031582AW0, 00000053661AW5, 000000Q7351005, 00000053652AW4, 00000053671AW4, 000000A7178003, 000000W7360001, 000000B7310001, 00000111719GE1, 000000Y7169006, 00000112959GE2, 000000B8324001, 000000L7269002, 000000U8203002, 000000F8227001, 00000054190AW4, 00000054158AW1, 000000K8214001, 00000127011GE5, 00000031558AW0, 00000054152AW4, 00000031587AW9, 00000098606GE7, 00000098607GE5, 00000098608GE3, 00000096091GE4, 00000096090GE6, 00000054214AW2, 00000054187AW0, 000000J8135001, 000000A7178002, 000000K8295004, 00000054238AW1, 00000054172AW2, 00000054236AW5, 00000054201AW9, 00000054180AW5, 00000054228AW2, 00000054195AW3, 000000J7254005, 00000054226AW6, 00000054227AW4, 00000054222AW5, 00000054194AW6, 000000N7311001, 00000054165AW6, 00000054243AW1, 00000054210AW0, 00000054248AW0, 00000056502GE8, 00000080482GE3, 00000080148GE0, 00000080484GE9, 00000080487GE2, 00000090493GE8, 00000063728GE0, 000000S8336002, 000000S8336001, 00000031581AW2, 00000054166AW4, 00000051675GE7, 00000051676GE5, 00000054217AW5, 00000063727GE2, 00000063886GE6, 00000066231GE2, 00000069348GE1, 00000073484GE8, 00000073488GE9, 00000073493GE9, 00000073494GE7, 00000076528GE9, 00000079708GE4, 00000080478GE1, 00000080673GE7, 00000081292GE5, 00000082786GE5, 00000085512GE2, 00000090483GE9, 00000090485GE4, 00000090491GE2, 00000096088GE0, 00000098602GE6, 00000100848GE1, 00000106867GE5, 00000111710GE0, 00000114862GE6, 00000123787GE4, 00000124936GE6, 00000124942GE4, 00000124943GE2, 00000127010GE7, 00000127012GE3, 00000127663GE3, 00000127665GE8, 00000132364GE1, 00000132366GE6, 00000140658GE6, 00000144922GE2, 00000144924GE8, 00000144926GE3, 00000144929GE7, 00000144930GE5, 00000144931GE3, 00000144932GE1, 00000144933GE9, 00000144935GE4, 00000144936GE2, 00000145022GE0, 00000145023GE8, 00000145026GE1, 000000V8109002, 00000100847GE3, 000000J7254002, 000000V8023001, 000000X8063002, 00000053667AW2, 00000054179AW7, 00000054181AW3, 00000054182AW1, 00000054186AW2, 000000K8211001, 000000S7318001, 00000054178AW9, 000000G7346002, 000000N7271005, 000000P8354001, 000000Q8340002, 000000U8203001, 000000AC833301, 000000Q8148001, 00000031571AW3, 00000054189AW6, 00000054247AW2, 000000B8348001, 000000D7222001, 000000F8227002, 000000F8227003, 000000J8135002, 000000P8059001, 000000S8259001, 000000T8266001, 000000U8332003, 00000144928GE9, 00000054202AW7, 00000054205AW0, 000000H9005001, 00000054209AW2, 000000D8015001, 000000D8015002, 000000D8015003, 000000D8015004, 000000L7235003, 000000P8323001, 000000Q7351006, 000000Q8140003, 000000W7360002, 00000031562AW2, 00000031563AW0, 00000031564AW8, 00000031567AW1, 00000031568AW9, 00000031573AW9, 00000031574AW7, 00000031575AW4, 00000053664AW9, 00000054150AW8, 00000054183AW9, 000000C7253001, 000000C7253002, 000000C7324001, 000000C8234001, 000000H8235001, 000000H8298001, 000000J7254004, 000000K8217001, 000000K8220001, 000000K8295001, 000000K8295002, 000000K8295003, 000000L7269005, 000000N7271004, 000000N7313001, 000000N8301001, 000000N8350001, 000000P8059002, 000000P8059003, 000000P8059004, 000000Q7351001, 000000Q7351002, 000000Q7351003, 000000Q8140001, 000000S8207001, 000000T8309001, 000000U8060002, 000000U8203004, 000000U8332001, 000000V8023002, 000000W7360003, 000000W7360004, 000000X8063003, 000000Y7169002, 000000Y7169003, 000000ZB733801, 00000053656AW5, 00000053658AW1, 00000053659AW9, 00000053663AW1, 00000054157AW3, 00000054163AW1, 00000054206AW8, 000000B7310002, 000000B7310003, 000000L7235006, 000000L7269003, 00000053654AW0, 00000054193AW8, 00000053665AW6, 00000053668AW0, 00000053669AW8, 00000053673AW0, 00000054156AW5, 000000C8242002, 000000N8311001, 00000031595AW2, 00000031596AW0, 000000D7166001, 000000N7271003, 000000Q8148003, 000000U8332002, 000000Y7169005, 00000054199AW5, 00000054203AW5, 00000054207AW6, 00000054208AW4, 00000054225AW8, 00000121723GE1, 00000140663GE6, 00000140664GE4, 000000G8256001, 000000K8295005, 000000T8309002, 00000054196AW1, 00000080485GE6, 00000080486GE4, 00000080671GE1, 00000100835GE8 and 00000053651AW6.
• Recalling Firm/ Manufacturer: GE Medical Systems, LLC; 3000 N Grandview Blvd; Waukesha WI 53188-1615
• For Additional Information Contact: 262-544-3894
• Manufacturer Reason for Recall: It was reported by a customer site that when using Advantage Sim MD on Advantage Workstation, the series could be incorrectly labeled in image view when multiple series of an exam are loaded simultaneously in Advantage Sim MD and if their series dates are different. A mismatch of series label for structure sets may lead to under-treatment of a tumor due to too small coverage of volume treated.
• FDA Determined Cause: Software design
• Action: GE Healthcare issued an "Urgent Medical Device Correction" letter dated March 11, 2009. The letter was addressed to AdvantageSim Customers, Hospital Administrators/ Risk Mangers and Oncology Department Mangers. The letter addressed the Safety Issue, Affected Product, Safety Instructions, Product Correction and Contact Information. For further questions, contact GE Healthcare at 1-800-437-1171 (US), 0120-055-919 (Japan) and for other countries, contact your local GE Healthcare sales or field service representative.
• Quantity in Commerce: 687 units (351 US / 336 OUS)
• Distribution: Worldwide Distribution -- Including states of AL, AZ, CA, CO, CT, FL, GA, DC, ID, IL, IN, IA, KS, LA, ME, MD, MA, MI, MN, MS,MO, MT,NE, NH, NJ, NM, NY, NC, ND, OH, OK PR, PA, SC, SD, TN, TX, UT, VA, WA and WI and AUSTRIA, BELGIUM, BRAZIL, CANADA, CHILE, CHINA, CZECH REPUBLIC, DENMARK, EGYPT, FINLAND, FRANCE, GERMANY, HONG KONG, INDIA, IRELAND, ISRAEL, ITALY, JAPAN, KOREA, MALAYSIA, NETHERLANDS, POLAND, PORTUGAL, RUSSIAN FEDERATION, SAUDI ARABIA, SINGAPORE, SPAIN, SWEDEN, SWITZERLAND, TAIWAN, TOKELAU, TURKEY, UNITED ARAB EMIRATES and the UNITED KINGDOM.
• Total Product Life Cycle: TPLC Device Report

¹ A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
² Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
³ For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.

• 510(K) Database: 510(K)s with Product Code = KPQ and Original Applicant = GE HEALTHCARE