The Recall Desk
SevereFDA (Devices)·Z-1185-2021·Announced 2021-03-17

Brainlab ExacTrac Dynamic Radiation Therapy System Software Recall

Brainlab AG is recalling ExacTrac Dynamic radiation therapy systems due to a software error that may allow treatment despite exceeding position tolerances.

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 involves a medical device defect that could lead to significant injury by allowing radiation treatment to proceed despite incorrect patient positioning.

Plain-English summary

Brainlab AG is recalling 73 ExacTrac Dynamic Medical Charged-Particle Radiation Therapy Systems (versions 1.0.0, 1.0.1, and 1.0.2) in the United States and internationally. The affected systems were distributed to facilities in California, New Jersey, Arizona, Arkansas, New York, Indiana, Oregon, and North Carolina, as well as in Australia, Austria, Belgium, Denmark, France, Germany, Hong Kong, Italy, Slovakia, Spain, Thailand, Turkey, the United Kingdom, and the United Arab Emirates.

The recall is due to a software error that can occur if automatic marker detection fails. This error may cause parts of the display to incorrectly indicate that the patient's position is within predefined tolerances, potentially allowing the user to proceed with treatment even if shift values are exceeded.

Healthcare facilities using these systems should contact Brainlab AG for instructions on how to resolve the software issue. The recall is classified as Class II by the FDA.

The recalled product

Product
ExacTrac Dynamic (Medical Charged-Particle Radiation Therapy System).
Manufacturer
Brainlab AG

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)

  • 1.0.1
  • 1.0.2.

Distribution

Distributed in 8 states: