The Recall Desk
HighFDA (Devices)·Z-2668-2016·Announced 2016-08-31

Vision RT TrueBeam and Edge Radiotherapy Systems Recalled for Parameter Errors

Vision RT Ltd is recalling 47 TrueBeam and EDGE radiotherapy systems because unintended changes to couch rotation parameters were discovered during patient set-up.

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 serious injury, but the source text explicitly states that no patient harm was reported, fitting the rubric for risk-of-harm products where injury has not yet been reported.

Plain-English summary

Vision RT Ltd is recalling 47 units of the TrueBeam Radiotherapy Delivery System and EDGE Radiotherapy Delivery System. These devices are intended to provide stereotactic radiosurgery and precision radiotherapy for lesions, tumors, and conditions anywhere in the body where radiation therapy is indicated for adults and pediatric patients.

The recall was initiated after the manufacturer received three reports from different sites indicating that unintended changes were made to planned couch parameters, specifically the couch rotation parameter, during patient set-up for the Optical Surface Monitoring System (OSMS). The source text explicitly states that no patient harm was reported in any of these cases.

The affected devices were distributed in the United States, Canada, Germany, Japan, Sweden, Switzerland, Taiwan, and the United Kingdom. No product was distributed to US government accounts. Specific serial numbers for the affected units are listed in the agency's recall record.

The recalled product

Product
TrueBeam¿ Radiotherapy Delivery System and EDGE" Radiotherapy Delivery System, K140528. The TrueBeam and Edge Systems are intended to provide stereotactic radiosurgery and precision radiotherapy for lesions, tumors, and conditions anywhere in the body where radiation therapy is
Manufacturer
Vision RT Ltd
Affected units
47

Distribution

Distribution scope not specified by the agency.

Part of a larger recall action

This product is one of 2 recalled by Vision RT Ltd under a single FDA (Devices) recall action. The agency files each product separately, so the size of the action is not visible from this page alone.

See all 2 products in this recall →