The Recall Desk
SevereFDA (Devices)·Z-0780-2014·Announced 2014-01-29

Elekta XiO RTP System Recalled for Dose Calculation Error

Elekta is recalling 13 XiO RTP Systems because a software error prevents dose recalculation when proton spot beam fractions are changed.

What this means for you

Illness, injury, or structural failure has been reported. Stop using the product immediately and contact the manufacturer for a refund or repair.

Our severity reasoning: The recall is classified as FDA Class II, and the defect involves a failure to recalculate radiation dose, which poses a significant risk of harm to patients if not corrected.

Plain-English summary

Elekta, Inc. is recalling 13 units of the XiO RTP System, a medical device used to create treatment plans for cancer patients receiving external beam radiation therapy or brachytherapy. The recall is due to a software defect in versions 4.80 and higher.

The defect occurs when the number of fractions is changed for a proton spot beam. In these instances, the machine units (MU) are recomputed and rounded, but the dose is not recalculated as required, even after the plan is saved and re-opened. This error could result in inaccurate treatment plans.

The affected units were distributed worldwide, including in the United States (Illinois, Indiana, Louisiana, New Jersey, Texas, Washington, and Wisconsin) and in Belgium, Germany, Italy, and the Netherlands. Users should contact Elekta for instructions on how to resolve the software issue.

The recalled product

Product
XiO RTP System The XiO RTP System is used to create treatment plans for any cancer patient for whom external beam radiation therapy or brachytherapy has been prescribed. The system will calculate and display, both on-screen and in hard-copy, either two or three-dimensional rad
Manufacturer
Elekta, Inc.
Affected units
13

Is your product affected?

Check your packaging against the codes below. If any of them match, the product is part of this recall.

Lot numbers (2)

  • Model or Catalog No. MUJ
  • Software Version XiO Versions 4.80 and higher

Distribution

Distributed in 7 states: