Brand Name: PROBEAT Product Name: PROBEAT-FR Model/Catalog Number: N/A Software Version: N/A Product Description: The PROBEAT-FR is a proton beam irradiation system, which provides a therapeutic proton beam for clinical treatment. It is designed to deliver a proton beam with the prescribed dose, dose distribution and directed to the prescribed patient treatment site. Component: N/A
FDA Recall Z-3125-2024 · Posted 2024-09-12
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Recalling FirmHitachi America, Ltd., Particle Therapy Division
Recall StatusOpen, Classified
Product CodeLHN
Date Initiated2024-05-27
Product Quantity1
Reason for Recall
During positioning within the system's 3D to 3D matching mode while transferring CBCT images, when the Float Image Selection button is pressed, it may display CBCT images that are insufficient in number.
Firm Action
Between 08/05-09/2024, the firm communicated/hand-delivered an "URGENT: MEDICAL DEVICE RECALL" letter to customers informing them that during positioning in the Positioning Image Analysis Systems (PIAS) 3D3D matching mode, while transferring Cone Beam CT systems (CBCT) images from CT Image Reconstruction Software (CIRS) to PIAS, when the Float Image Selection button on the PIAS screen is pressed, it may display CBCT images that are insufficient in number. This may reveal a clear displacement in the Y-direction (body axis direction) compared to the planning CT. There may potentially be a possibility of completing 3D3D patient positioning approximately 5mm off in the body axis direction (with 5 images missing) and proceeding with treatment.
Customers are instructed, until the software has been replaced with the corrected version, all users of the device are directed to follow the interim countermeasure.
When users operate as described in the operation manual, no such event should occur.
Countermeasure references:
Engineering Document:
PBT-40E-1042 Instruction for patient positioning assistance using CBCT
[PROBEAT-FR] Operation Manual TS.16F0147-1
Page.1-105 / 1-108
[PROBEAT-CR] Operation Manual TS.16F0147-1
Page. 1-4-20 / 1-4-23
[PROBEAT-V] Operation Manual TS.16A1850-1E
Page.1-126 / 1-131
For questions/assistance -
Root Cause
Software design
Distribution Pattern
U.S. Nationwide distribution in the states of TN, TX, and WA.
Related FDA 510(k) Records
Devices referenced by this recall via K-numbers.
Official Source
View FDA Recall →Source: FDA Enforcement Report / Recall database. Always confirm against the official FDA record.
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