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U.S. Department of Health and Human Services

Class 2 Device Recall Radionuclide Radiation Therapy System

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  Class 2 Device Recall Radionuclide Radiation Therapy System see related information
Date Initiated by Firm September 01, 2006
Date Posted April 29, 2010
Recall Status1 Terminated 3 on December 14, 2010
Recall Number Z-1533-2010
Recall Event ID 54850
510(K)Number K984328  
Product Classification System, Radiation Therapy, Radionuclide - Product Code IWB
Product Leksell Gamma Knife C
Code Information 4149, 4150, 4151, 4157, 4158, 4160, 4151, 4165, 4168, 4171, 4175, 4176, 4178, 4183, 4187, 4189, 4191, 4193, 4194, 4195, 4196, 4197, 4199, 4201, 4202, 4204, 4207, 4208, 4212, 4300, 4302, 4303, 4306, 4307, 4308, 4309, 4313, 4314, 4315, 4318, 4319, 4321, 4322, 4326, 4328, 4329, 4334, 4337, 4802, 4809, 4816, 4817, 4818, 4824, 4828, 4830, 5000, 5003, 5006, 5009, 5010, 5001, 4803, 4310, 4210, 4311, 4330, 5004, 5014, 4305, 4320, 4317, 4324, 4325, 5011, 5012, 4304, 4316, 5002, 5007, 5008, 5013, 4819, 4806, 5005, 4301, 4323, 4312
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		 Leksell 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.
FDA Determined
Cause 2		 Other
Action Phase 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 implementation schedule.
Quantity in Commerce 88 units
Distribution Nationwide, Austria, Belgium, Canada, China, Croatia, Italy, Japan, Korea, Norway, Spain, Sweden, Taiwan and Turkey.
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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