The Recall Desk
CriticalFDA (Devices)·Z-1529-2016·Announced 2016-04-27

Mevion S250 Proton Therapy System Recalled for Gantry Motion Hazard

Mevion Medical Systems is recalling five MEVION S250 proton therapy systems because an aperture may fall out during gantry motion, posing a risk of traumatic injury or death to patients.

What this means for you

Highest-severity recall. Risk of serious injury or death is documented or strongly suspected. Stop using the product now and follow the agency's instructions.

Our severity reasoning: The source text explicitly states that the hazard can cause 'traumatic injury or death,' which meets the rubric criteria for a Critical (5) severity score due to the potential for fatalities.

Plain-English summary

Mevion Medical Systems, Inc. is recalling five MEVION S250 for Proton Radiation Therapy systems. The recall is due to a possibility of gantry motion occurring when an aperture or compensator is only partially inserted.

The hazard involves the potential for an aperture to fall out during gantry motion. If this occurs, the falling component can hit a patient, causing traumatic injury or death.

The affected units were distributed nationwide to Missouri, Oklahoma, Florida, and New Jersey. The specific code for the affected units is S250-0002. Consumers and healthcare facilities should contact Mevion Medical Systems for instructions on how to address this safety issue.

The recalled product

Product
MEVION S250 for Proton Radiation Therapy
Affected units
5

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 (1)

  • S250-0002

Distribution

Distributed nationwide across the United States.

The notice also names 4 states specifically: