—#79899

Product

AdvantageSim MD versions 7.4 through 7.6, Model 5160092. AdvantageSim MD is used to prepare geometric and anatomical data relating to a proposed external beam radiotherapy treatment prior to dosimetry planning.

FDA product code: KPQ — System, Simulation, Radiation Therapy
Device class: Class 2
Medical specialty: Radiology
510(k) numbers: K052345
Affected lot / code info: Serial Numbers: 00000118329GE2, 00000142883GE8, 00000142882GE0, 00000111103GE8, 00000051589GE0, 00000108666GE9, 00000127664GE1, 00000068379GE7, 00000073497GE0, 00000142884GE6, 00000051586GE6, 00000113886GE6, 00000080150GE6, 00000124934GE1, 00000073489GE7, 00000098605GE9, 00000106869GE1, 00000090499GE5, 00000090489GE6, 00000076519GE8, 00000080672GE9, 00000080481GE5, 00000134781GE4, 00000134782GE2, 00000132360GE9, 00000134789GE7, 00000069359GE8, 00000069362GE2, 00000138883GE4, 00000051665GE8, 00000051666GE6, 00000100844GE0, 00000061315GE8, 00000090495GE3, 00000076526GE3, 00000051583GE3, 00000051584GE1, 00000052631GE9, 00000109919GE1, 00000114863GE4, 00000109867GE2, 00000081296GE6, 00000108668GE5, 00000142879GE6, 00000068377GE1, 00000142878GE8, 00000138880GE0, 00000140659GE4, 00000112963GE4, 00000069347GE3, 00000134783GE0, 00000138888GE3, 00000118327GE6, 00000121720GE7, 00000109866GE4, 00000090496GE1, 00000081289GE1, 00000073483GE0, 00000106871GE7, 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00000113882GE5, 00000123786GE6, 00000080277GE7, 00000079710GE0, 00000134788GE9, 00000067041GE4, 00000112967GE5, 00000090498GE7, 00000100843GE2, 00000080276GE9, 00000096087GE2, 00000123790GE8, 00000080149GE8, 00000132367GE4, 00000142880GE4, 00000123791GE6, 00000090480GE5, 00000069350GE7, 00000079707GE6, 00000079706GE8, 00000090484GE7, 00000140655GE2, 00000124935GE8, 00000121725GE6, 00000111106GE1, 00000113883GE3, 00000108665GE1, 00000138882GE6, 00000090494GE6, 00000069363GE0, 00000051672GE2, 00000076523GE0, 00000076521GE4, 00000112964GE2, 00000082781GE6, 00000106868GE3, 00000121722GE3, 00000108672GE7, 00000068389GE6, 00000073496GE2, 00000076529GE7, 00000081297GE4, 00000081298GE2, 00000140662GE8, 00000118330GE0, 00000056499GE7, 00000109869GE8, 00000109864GE9, 00000108673GE5, 00000108674GE3, 00000109862GE3, 00000109863GE1, 00000051581GE7, 00000051582GE5, 00000051590GE8, 00000082778GE2, 00000068388GE8, 00000138884GE2, 00000068380GE5, 00000111713GE4, 00000079709GE2, 00000073495GE4, 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000000V8109003, 000000J8114003, 00000054154AW0, 00000054219AW1, 000000K7316002, 00000054167AW2, 00000053650AW8, 00000031569AW7, 00000031582AW0, 00000053661AW5, 000000Q7351005, 00000053652AW4, 00000053671AW4, 000000A7178003, 000000W7360001, 000000B7310001, 00000111719GE1, 000000Y7169006, 00000112959GE2, 000000B8324001, 000000L7269002, 000000U8203002, 000000F8227001, 00000054190AW4, 00000054158AW1, 000000K8214001, 00000127011GE5, 00000031558AW0, 00000054152AW4, 00000031587AW9, 00000098606GE7, 00000098607GE5, 00000098608GE3, 00000096091GE4, 00000096090GE6, 00000054214AW2, 00000054187AW0, 000000J8135001, 000000A7178002, 000000K8295004, 00000054238AW1, 00000054172AW2, 00000054236AW5, 00000054201AW9, 00000054180AW5, 00000054228AW2, 00000054195AW3, 000000J7254005, 00000054226AW6, 00000054227AW4, 00000054222AW5, 00000054194AW6, 000000N7311001, 00000054165AW6, 00000054243AW1, 00000054210AW0, 00000054248AW0, 00000056502GE8, 00000080482GE3, 00000080148GE0, 00000080484GE9, 00000080487GE2, 00000090493GE8, 00000063728GE0, 000000S8336002, 000000S8336001, 00000031581AW2, 00000054166AW4, 00000051675GE7, 00000051676GE5, 00000054217AW5, 00000063727GE2, 00000063886GE6, 00000066231GE2, 00000069348GE1, 00000073484GE8, 00000073488GE9, 00000073493GE9, 00000073494GE7, 00000076528GE9, 00000079708GE4, 00000080478GE1, 00000080673GE7, 00000081292GE5, 00000082786GE5, 00000085512GE2, 00000090483GE9, 00000090485GE4, 00000090491GE2, 00000096088GE0, 00000098602GE6, 00000100848GE1, 00000106867GE5, 00000111710GE0, 00000114862GE6, 00000123787GE4, 00000124936GE6, 00000124942GE4, 00000124943GE2, 00000127010GE7, 00000127012GE3, 00000127663GE3, 00000127665GE8, 00000132364GE1, 00000132366GE6, 00000140658GE6, 00000144922GE2, 00000144924GE8, 00000144926GE3, 00000144929GE7, 00000144930GE5, 00000144931GE3, 00000144932GE1, 00000144933GE9, 00000144935GE4, 00000144936GE2, 00000145022GE0, 00000145023GE8, 00000145026GE1, 000000V8109002, 00000100847GE3, 000000J7254002, 000000V8023001, 000000X8063002, 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000000K8295005, 000000T8309002, 00000054196AW1, 00000080485GE6, 00000080486GE4, 00000080671GE1, 00000100835GE8 and 00000053651AW6.

Why it was recalled

It was reported by a customer site that when using Advantage Sim MD on Advantage Workstation, the series could be incorrectly labeled in image view when multiple series of an exam are loaded simultaneously in Advantage Sim MD and if their series dates are different. A mismatch of series label for structure sets may lead to under-treatment of a tumor due to too small coverage of volume treated.

Root cause (FDA determination)

Software design

Action the firm took

GE Healthcare issued an "Urgent Medical Device Correction" letter dated March 11, 2009. The letter was addressed to AdvantageSim Customers, Hospital Administrators/ Risk Mangers and Oncology Department Mangers. The letter addressed the Safety Issue, Affected Product, Safety Instructions, Product Correction and Contact Information. For further questions, contact GE Healthcare at 1-800-437-1171 (US), 0120-055-919 (Japan) and for other countries, contact your local GE Healthcare sales or field service representative.

Recalling firm

Firm: GE Medical Systems, LLC
Address: 3000 N Grandview Blvd, Waukesha, Wisconsin 53188-1615

Distribution

Distribution pattern: Worldwide Distribution -- Including states of AL, AZ, CA, CO, CT, FL, GA, DC, ID, IL, IN, IA, KS, LA, ME, MD, MA, MI, MN, MS,MO, MT,NE, NH, NJ, NM, NY, NC, ND, OH, OK PR, PA, SC, SD, TN, TX, UT, VA, WA and WI and AUSTRIA, BELGIUM, BRAZIL, CANADA, CHILE, CHINA, CZECH REPUBLIC, DENMARK, EGYPT, FINLAND, FRANCE, GERMANY, HONG KONG, INDIA, IRELAND, ISRAEL, ITALY, JAPAN, KOREA, MALAYSIA, NETHERLANDS, POLAND, PORTUGAL, RUSSIAN FEDERATION, SAUDI ARABIA, SINGAPORE, SPAIN, SWEDEN, SWITZERLAND, TAIWAN, TOKELAU, TURKEY, UNITED ARAB EMIRATES and the UNITED KINGDOM.

Timeline

Recall initiated: 2009-02-02
Posted by FDA: 2009-08-17
Terminated: 2011-12-10
Status: —

Source: openFDA Device Recall endpoint. Recall record ID #79899. The FDA issues recall classifications as health-hazard assessments, not legal findings; for legal claims consult a licensed attorney.