Class 2 Device Recall GammaMed 12i Accessory

• Date Initiated by Firm: October 06, 2011
• Date Posted: December 01, 2011
• Recall Status: Terminated on October 22, 2012
• Recall Number: Z-0330-2012
• Recall Event ID: 60231
• 510(K)Number: K891131
• Product Classification: System, applicator, radionuclide, remote-controlled - Product Code JAQ
• Product: Varian brand GammaMed 12i Accessory: Clamping adapters for bronchial catheters, 1.8mm diameter, GammaMed 12i; Ref: BT-00264, Model 2-H63; Product is distributed by Varian Medical Systems Inc., Palo Alto, CA and Manufactured by Varian Medical Systems Haan GmbH, Bergische Strasse 16, D-42781 Haan, Germany. The Varian Medical System GammaMed Afterloader system is a remotely controlled intelligent robotic device intended to be used to deliver high dose-rate radiation therapy, in close proximity to and from within diseased tissues. Palliative care and treatments with curative intent to both benign and non-benign disease using interstitial, intracavitary, intraluminal, intra and inter-operative brachytherapy or combinations of any these treatment types are possible using this device.
• Code Information: CODES: H630164 ,H630703 ,H630727 ,H630756 ,H630787 ,H630810 ,H630829 ,H630850 ,H630868 ,H630888 ,H630165 ,H630705 ,H630728 ,H630757 ,H630789 ,H630811 ,H630832 ,H630851 ,H630869 ,H630889 ,H630168 ,H630706 ,H630729 ,H630758 ,H630790 ,H630812 ,H630833 ,H630852 ,H630870 ,H630891 ,H630170 ,H630711 ,H630732 ,H630760 ,H630792 ,H630813 ,H630834 ,H630854 ,H630871 ,H630892 ,H630205 ,H630712 ,H630733 ,H630764 ,H630793 ,H630814 ,H630835 ,H630855 ,H630872 ,H630895 ,H630206 ,H630713 ,H630736 ,H630769 ,H630794 ,H630815 ,H630837 ,H630857 ,H630877 ,H630896 ,H630210 ,H630714 ,H630737 ,H630771 ,H630795 ,H630817 ,H630839 ,H630858 ,H630878 ,H630897 ,H630211 ,H630716 ,H630739 ,H630774 ,H630798 ,H630818 ,H630841 ,H630859 ,H630879 ,H630898 ,H630214 ,H630718 ,H630741 ,H630776 ,H630801 ,H630820 ,H630842 ,H630860 ,H630880 ,H630901 ,H630215 ,H630719 ,H630744 ,H630777 ,H630802 ,H630822 ,H630843 ,H630863 ,H630881 ,H630902 ,H630216 ,H630720 ,H630747 ,H630778 ,H630804 ,H630825 ,H630845 ,H630864 ,H630884 ,H630903 ,H630219 ,H630721 ,H630749 ,H630781 ,H630807 ,H630826 ,H630847 ,H630866 ,H630885 ,H630904 ,H630701 ,H630722 ,H630753 ,H630784 ,H630809 ,H630828 ,H630848 ,H630867 ,H630886
• Recalling Firm/ Manufacturer: Varian Medical Systems, Inc. Oncology Systems; 911 Hansen Way; Palo Alto CA 94304-1028
• For Additional Information Contact: Michael A. Pignataro ; 650-424-5731
• Manufacturer Reason for Recall: The Product Models 1 & 2 have a design flaw problem where the clamping adapter can obstruct movement of the source cable in the event the bronchial catheter is dislodged from the connector.
• FDA Determined Cause: Device Design
• Action: Varian Medical Systems sent an "URGENT MEDICAL DEVICE CORRECTION LETTER/FIELD SAFETY NOTICE" letter dated October 6, 2011 to all affected customers. The letter describes the product, problem, and the actions to be taken by the customers. Contact the Varian Help Desk at 1-888-827-4265 for questions regarding this notice.
• Distribution: Worldwide Distribution--USA (nationwide).
• 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 = JAQ