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U.S. Department of Health and Human Services

Class 2 Device Recall Leksell Gamma Knife C

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  Class 2 Device Recall Leksell Gamma Knife C see related information
Date Initiated by Firm August 01, 2006
Date Posted April 22, 2010
Recall Status1 Terminated 3 on December 14, 2010
Recall Number Z-1429-2010
Recall Event ID 55148
510(K)Number K984328  
Product Classification Radionuclide radiation therapy system - Product Code IWB
Product Leksell Gamma Knife C
Code Information 4148, 4207, 4214, 4300, 4302, 4303, 4306, 4307, 4308, 4309, 4313, 4314, 4315, 4318, 4319, 4321, 4322, 4326, 4327, 4328, 4329, 4332, 4333, 4334, 4337, 4338, 4339, 4340, 4341, 4342, 4343, 4344, 4346, 4351, 4352, 4353, 4354, 4357, 4363, 4365, 4366, 5000, 5003, 5006, 5009, 5010, 5018, 5019, 5022, 5023, 5026  
Recalling Firm/
Manufacturer		 Elekta, Inc.
4775 Peachtree Industrial Blvd
Bldg 300, #300
Norcross GA 30092-3011
For Additional Information Contact Thomas Valentine
770-670-2548
Manufacturer Reason
for Recall		 Due to a material change in a critical component of the linear actuators the quality of said part was found to be inadequate.
FDA Determined
Cause 2		 Other
Action Phase 1 - Technical Notes Leksell Gamma Knife C version 1.2 (dated August 2006) "Potential Problem with Error Handling" was sent to all users. Phase 2 - Mandatory Field Action 0000748, "Helmet Changer Actuator, MTB and MCU SW Upgrade Kit was released December 3, 2007. This Field Change Order includes two mod kits and a software upgrade to provide a permanent solution to the issues. Phase 3 - Technical Note 200 068, "Safety issue with helmet host actuator", released on May 15, 2008. This Technical Note includes a warning to customers of a potential quality problem with the helmet hoist actuator that is installed in the Leksell Gamma Knife. Phase 4 - Mandatory Field Action 200 067, "Investigation and Correction of Helmet Changer Actuators", released on May 15, 2008. This FCO includes a list of user machines which must be monitored for quality issues and provides a solution for replacement of parts should a deficiency be detected. Phase 5 - Mandatory Field Action 200 075, "Helmet Changer Actuator, MTB and MCU SW upgrade, release two", released on September 16, 2008. This FCO applies to machines within specific serial number ranges. Due to a material change in FCO-0000748 and baselines (conducted without notice by the manufacturer) the quality of said part was found to be inadequate. After reversing the material change, FCO 200 075 is released to update the installed base with the new type of actuator and to finish the remaining sites never or partially updated by the now superseded FCO-0000748. For further information, contact Elekta R&D Jonas Hallstensson on phone no. +46 709 843 553 or via e-mail jonas.hallstensson AT elekta.com.
Quantity in Commerce 51 units
Distribution AL, CA, CO, CT, FL, GA, IL, MD, MA, MI, MN, MO, NE, NY, NC, OH, OK, OR, PA, TN, TX, VA, WA
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 = IWB and Original Applicant = ELEKTA INSTRUMENT AB
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