The Recall Desk
HighFDA (Devices)·Z-2424-2018·Announced 2018-07-18

Proteus 235 Proton Beam Device Recalled for Correction Vector Loss

Ion Beam Applications S.A. is recalling three Proteus 235 units because a software defect may cause patients to be treated in the wrong position.

What this means for you

Real risk of harm even if no illness or injury has been reported yet. Stop using the product and follow the agency's guidance.

Our severity reasoning: The recall involves a high-risk medical device where a defect could lead to incorrect treatment positioning, representing a risk of harm where injury has not yet been reported in the source text.

Plain-English summary

Ion Beam Applications S.A. is recalling three units of the Proteus 235 proton beam device, specifically versions PTS-11.0.1.2 and PTS-11.0.2. The device is designed to produce and deliver a proton beam for the treatment of patients with localized tumors and other conditions susceptible to radiation treatment.

The recall is due to a defect where the correction vector confirmation message is lost if the access point is changed after the correction vector is sent. As a result, a patient may be treated in the setup position or treatment position instead of the intended corrected position.

The affected units are distributed worldwide, including in the United States (Florida) and in Sweden and The Netherlands. The specific serial numbers for the recalled units are SAT.122 (EU), SAT.132 (EU), and SAT.133 (US). The source text does not specify instructions for consumers or healthcare providers regarding immediate actions to take.

The recalled product

Product
Proteus 235, Version PTS-11.0.1.2 and PTS-11.0.2 Product Usage: A device designed to produce and deliver a proton beam for the treatment of patients with localized tumors and other conditions susceptible to treatment by radiation.
Affected units
3

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)

  • Serial Numbers: SAT.122 (EU) SAT.132 (EU) SAT.133 (US)

Distribution

Distributed nationwide across the United States.

The notice also names 1 state specifically:

Same hazard · incorrect treatment position

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