The Recall Desk
SevereFDA (Devices)·Z-1643-2015·Announced 2015-05-27

Philips Pinnacle3 Software Recall Due to Incorrect Dose Calculation

Philips Medical Systems is recalling Pinnacle3 software version 10.0 because a defect in the dose engine may cause incorrect radiation therapy dose calculations.

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 incorrect radiation dose calculations, which poses a significant risk of injury to patients.

Plain-English summary

Philips Medical Systems, Inc. is recalling Pinnacle3 software version 10.0 (Model 459800200841). The recall involves four units distributed in Missouri, Florida, and Ohio. The software is used by qualified medical professionals to enter patient data, construct radiation therapy plans, and evaluate those plans.

The recall is due to a problem where the dose computed in planning mode is calculated incorrectly. Specifically, the dose engine is being passed the wrong snout position, which is used to determine the penumbra of the beam and calculate the source size. If this issue re-occurs, it could pose a risk to patients or users.

Affected units have the following system codes: 1439NML05A, 1117FMM025, DC090775040, and 1117FMM03J. Medical professionals using this software should contact Philips Medical Systems for further instructions on how to address the defect.

The recalled product

Product
Pinnacle3 Software Version 10.0, Model 459800200841. Product Usage: The Pinnacle 3 RTP software allows qualified medical professionals to enter patient data into the system, use that data to construct a plan for radiation therapy and evaluate the plan. Optionally, the qualif
Affected units
4

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 (4)

  • "System Code S/N" 1439NML05A
  • 1117FMM025
  • DC090775040
  • 1117FMM03J.

Distribution

Distributed nationwide across the United States.

The notice also names 3 states specifically: