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FDA Medical Device Recalls (openFDA)

Varian Medical Systems, Inc.: Eclipse(TM) Treatment Planning System with Proton Convolution Superposition algorithm license only The Eclipse Treatment Planning System (Eclipse TPS) is used to plan radiotherapy treatments for patients with malignant or benign diseases. Eclipse TPS is used to plan external beam irradiation with photon, elec- tron and proton beams, as well as for internal irradiation (brachytherapy) treatments. In addition, the Eclipse Proton Eye algorithm is specifically indicated for planning proton treatment of neoplasms of the eye.

Recall number
Z-0771-2019
Recalling firm
Varian Medical Systems, Inc.
Product
Eclipse(TM) Treatment Planning System with Proton Convolution Superposition algorithm license only The Eclipse Treatment Planning System (Eclipse TPS) is used to plan radiotherapy treatments for patients with malignant or benign diseases. Eclipse TPS is used to plan external beam irradiation with photon, elec- tron and proton beams, as well as for internal irradiation (brachytherapy) treatments. In addition, the Eclipse Proton Eye algorithm is specifically indicated for planning proton treatment of neoplasms of the eye.
Status
Terminated
Initiated
2018-12-26
Posted
not on file
Terminated
2021-03-10
Reason
There is an anomaly with the Eclipse(TM) Treatment Planning System [TPS] Proton Convolution Superposition [PCS] dose calculation algorithm. The PCS algo- rithm calculates the water equivalent range incorrectly for non-square 3D CT images (either different number of pixels in X and Y, or non-square pixels). Before the dose is calculated, Eclipse resamples the CT images to create a calculation image with a maximum resolution of 256 x 256. The PCS algorithm assumes uniform resolution in X and Y directions, or that X = Y for all images, and erroneously sets the Y = X for dose calcu- lation. For images that are not square, where either X<>Y, or the length of X does not equal the length of Y, the computed water equivalent range R is erroneous compared to the correct range R: 1) X=Y; R =R (R is correct); 2) XY R >R (R is too big).
Root cause
Software design
Action
The firm, Varian, disseminated the "URGENT MEDICAL DEVICE CORRECTION FIELD SAFETY NOTICE" dated 12/17/2018 to its customers on 12/26/2018. The letter explained the product, problem and a work around. The customers were instructed to do the following: Please retain a copy of this document along with your most current product labeling. complete the attached Recall Return Response form provided. Kindly return the completed form to returnresponse@varian.com Advise the appropriate personnel working in your radiotherapy department of the content of this letter. For future reference, this document will be posted to the Varian Medical Systems customer support website: http://www.MyVarian.com. Varian Medical Systems has developed a technical correction for this issue. You will be contacted by a Customer Service representative to schedule its installation on your system. If you require further clarification, please feel free to contact your local Varian Medical Systems Customer Support District or Regional Manager or Varian Oncology Help Desk Contact Information at +1.888.827.4265 or Email: support @varian.com.
Quantity
1450 devices
Distribution
Worldwide distribution: US (nationwide) and countries of: Australia, Brazil, Denmark France, Germany, Japan, Poland, Russia, Saudi Arabia, Singapore, Slovakia, South Africa, South Korea, Sweden, Switzerland, Taiwan, and United Kingdom.
Lot, serial or model codes
Versions 13.X and 15.X
510(k) numbers
["K170969","K172163","K181145"]
PMA numbers
not on file
Product code
MUJ
Firm FEI
2916710
Firm city
Palo Alto
Firm state
CA
Firm country
not on file

Where this comes from

Register
FDA Medical Device Recalls (openFDA)
Publisher
U.S. Food and Drug Administration (openFDA)
File
device-recall-0001-of-0001.json.zip
sha256
b87518bfe2e8
Size
288210821 bytes
Published
2026-09-28
Read
2026-09-29T08:25:23.626Z
Source file
Source file retained · verify
Refresh due
2026-10-06

Unless otherwise noted, the content, data, documentation, code, and related materials on openFDA is public domain and made available with a Creative Commons CC0 1.0 Universal dedication.

Cite as

FDA Medical Device Recalls (openFDA) (U.S. Food and Drug Administration (openFDA)), device-recall-0001-of-0001.json.zip, sha256 b87518bfe2e8, published 2026-09-28

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