RayStation and RayPlan (2018-01-26)

Starting date:

January 26, 2018

Posting date:

March 13, 2018

Type of communication:

Medical Device Recall

Subcategory:

Medical Device

Hazard classification:

Type III

Source of recall:

Health Canada

Issue:

Medical Devices

Audience:

General Public, Healthcare Professionals, Hospitals

Identification number:

RA-66120

• 
  Reason
• 
  Affected products

Affected products

1. RAYSTATION
2. RAYPLAN

Reason

When more than one beam is defined on the same isocenter, Center Beam in Field (CBF) affects all beams in a way that the user may not expect. After using CBF, the resulting fields are clearly displayed in RayStation/RayPlan for review and approval. However, one mistreatment incident using the CBF functionality has been reported where the user failed to review the resulting beam apertures before treatment delivery.

Affected products