ELEKTA BEIJING MEDICAL SYSTEMS CO., LTD
110 recall(s) on record — most severe on record: Class II.
Activity by year
- Recalls (110)
Devices registered here (1)
- Accelerator, Linear, MedicalProduct code IYE (opens in a new tab) · Class II · Radiology · 21 CFR 892.5050
Recalls & enforcement
20264 records
- Class IIOngoing2026-05-21Software may fail to load adapted baseline shift plan during treatment delivery when a communication error occurs.
- Class IIOngoing2026-04-03Due to safety concerns regarding the detachment of the tip of the intrauterine tube (IU tube) that may remain within a patient.
- Class IIOngoing2026-03-19Locking mechanisms may not properly secure to the Arc system, resulting in shifting of coordinates during procedures.
- Class IIOngoing2026-02-18Due to adapter not being properly aligned or locked in place.
20255 records
- Class IIOngoing2025-12-14Due to a manufacturing issue and electrical grounding of systems.
- Class IIOngoing2025-12-12Due to an error when defining a new stereotactic reference that users fail to first change an already defined obsolete reference to a pre-plan reference. This may result in a treatment plan that potentially irradiates the incorrect patient location if the error is not detected b…
- Class IIOngoing2025-12-10Using oncology information system that manages workflow may result in overtreatment if:Plan delivered with Particle Therapy IHE-RO TDW-II interface,With one field per fraction or last field partial treatment,Partial treatment occurs followed by treatment field interruptions with …
- Class IIOngoing2025-09-30Due to increased risk that paint flakes from the engravings may separate from the device and there is the possibility that the flake may inadvertently enter the wound
- Class IIOngoing2025-01-15Image offsets calculated by oncology Information System software may be incorrect for Linear Accelerator (LINACs) not characterized at IEC61217 scale.
20234 records
- Class IIOngoing2023-10-25Elekta has identified that if the microswitch within the middle arm is incorrectly setup, there is a potential for an uncontrolled extension of iViewGT / XVI detector arms. When the detector arm is fully deployed there is no risk of uncontrolled extension.
- Class IIOngoing2023-05-05A component within a limited number of Elekta Linacs has been realized to be non-compliant to IEC 60601
- Class IIOngoing2023-04-06There is a low possibility that an electrical connector in the MR gradient coil will overheat on Elekta Unity systems.
- Class IIOngoing2023-02-28Re-optimization, after adding contours without forced density outside the external structure, may result in inaccurate dose presentation.
20221 record
- Class IIOngoing2022-12-05A reconstruction error may occur when using the Catheter Bending functionality in Applicator Modeling or Implant Modeling
20216 records
- Class IIOngoing2021-10-13Under certain circumstances, there can be a difference between the planned and delivered dose of the two ovoid channels.
- Class IITerminated2021-09-17There is a risk that the Diode D1 in the Modulator can fail in a destructive manner when removed from the machine, and that the protective tube surrounding the diode may fail to contain the ejected matter.
- Class IIOngoing2021-09-14Contour changes can be saved on an unintended image set. In addition, these contour edits do not cause the dose to be frozen on the plans associated with that image set.
- Class IIOngoing2021-09-02A drug strength in MOSAIQ can be changed during the ordering process and approved, but the saved drug strength reverts to the original value.
- Class IIOngoing2021-07-26If a couch is removed while a plan is loaded, and then added back to the Studyset when the plan is unloaded, it is possible to calculate dose with the couch unassigned to the beams.
- Class IITerminated2021-04-20Malware attack
20204 records
- Class IITerminated2020-05-21In TSM (Treatment Session Manager) Motion Monitoring workflows, under certain conditions there can be a mismatch between the contour data overlay with respect to the motion monitoring images of the monitored structure.
- Class IITerminated2020-04-30potential risk that Legionella may be present in the Unity machine room, specifically the heat exchanger condensation collection tray.
- Class IIOngoing2020-04-16The Monaco RTP Radiation Treatment Planning System may change the shape and volume of the contour potentially resulting in the device delivering an inaccurate dose.
- Class IITerminated2020-03-30A faulty locking piece of the Instrument Carrier that does not fulfil the requirement of locking force to the Arc has been found during an internal check of a Leksell Vantage Stereotactic Arc System.
201911 records
- Class IITerminated2019-12-18There have been reports of excessive heating in the MRL Gradient Connection Module.
- Class IIOngoing2019-11-22Monaco is using the incorrect energy when optimizing and calculating dose.
- Class IIOngoing2019-09-04It is possible that the forced electron density settings will be changed for some structures unintentionally and this can result in incorrect dose calculation.
- Class IITerminated2019-08-23Monaco is displaying the Anatomy and Beam shift direction incorrectly on the Monaco Scan and Setup Reference Report and is DICOM exporting incorrect (Anatomy/Beam) shift directions.
- Class IIOngoing2019-07-03When creating 3D plans using either MU or Dose weighting modes, if the user changes the number of fractions, rescales the plan and then changes the wedge angle, the Monitor Units are scaled incorrectly.
- Class IITerminated2019-06-24The QA software solution to perform the MR to MV alignment check, does not display the stored MR to MV offset values. The user is unable to independently inspect the values during their QA.
- Class IITerminated2019-06-19Potential for iGUIDE to incorrectly monitor the 3D position.
- Class IITerminated2019-04-03There is no warning in the Elekta Unity manual for the administration of gadolinium-based or other contrast agents for imaging or image guidance purposes has not been validated.
- Class IITerminated2019-03-12Users need to be aware when using these protocols for daily on line plan adaptation that: 1) The images acquired using these protocols do not represent the average position of the anatomy during the respiratory motion cycle. The images are based on data acquired around full expi…
- Class IITerminated2019-02-08If Improve Target Dose was chosen as an optimization model in a previous treatment session, Monaco® will automatically use this optimization model again when proceeding with the online plan adaptation of a completion plan when it should not.
- Class IICompleted2019-01-04In rare circumstances, due to reasons such as inadequate hospital facility maintenance, water leakage, and weakening of speaker fixings during the lifetime of the system, the speakers can become dislodged and be pulled into the bore.
20184 records
- Class IIOngoing2018-12-13There is a potential that Wedge IDs were not included in the DICOM RT PLAN sent from the TPS, which will cause the field in MOSAIQ to be created with no wedge. Treatment of a field without the planned wedge will receive more dose than the treatment plan indicates.
- Class IITerminated2018-12-04If a Setup field (CT, kV, MV or MVCT) is created by COPYING a treatment field or another setup field, then the copied field will have the same isocenter as the parent and that isocenter may not be the correct isocenter for imaging when it is sent to the machine.
- Class IITerminated2018-08-03Order Status Remains Approved When Should Indicate Complete.
- Class IITerminated2018-05-16Upon completion of a 6D workflow, the HexaPOD evo Module may be in a tilted state if it is moved to the position used for 3D (non-iGUIDE) treatments resulting in incorrect patient positioning.
20178 records
- Class IITerminated2017-12-01There is a potential for an uncontrolled extension of iViewGT / XVI detector arms.
- Class IITerminated2017-11-20Potential for positional errors following automatic table movement (ATM).
- Class IITerminated2017-09-01Incorrect DICOM mapping of the exported collimator or couch angles from ERGO, which would lead to incorrect rotation of the collimator or couch when using a MLC device for planning.
- Class IITerminated2017-06-30The table shift in the vertical direction was inverted during the use of CMA (Couch Move Assistant). Therapy may be directed to an incorrect area.
- Class IITerminated2017-06-21Retention of Outdated Information in an Order Set. In the Care Plan Library, double clicking to add or delete a Component/Procedure to an Order Set does not trigger the update of the associated Care Plans.
- Class IITerminated2017-06-19Incorrect PEC values.
- Class IITerminated2017-05-23If the gantry module is replaced after original installation the configuration settings may be missing. The identified risk for this issue is electrical safety for technicians doing maintenance on the X-ray generator.
- Class IITerminated2017-01-10Incorrect dose after editing beam number an wedge angle.
201614 records
- Class IITerminated2016-12-23Cross profile for Varian 60 degree wedge shows "horns."
- Class IITerminated2016-12-21Incorrect Enhanced Dynamic Wedge (EDW) or Virtual Wedge (VW) Calculations.
- Class IITerminated2016-12-02Edits to Particle field definition parameters may not be saved when the field definition window is saved.
- Class IITerminated2016-11-17Contours are not handled correctly if the CT dataset contains slices with DICOM Z coordinates of xx.x50mm.
- Class IITerminated2016-11-03Incorrect Dose when using the reset function.
- Class IITerminated2016-09-29When creating 3D plans using either MU or Dose weighting modes, if the user changes the Physician's Intent Rx Dose and/or the number of fractions, and then modifies the wedge angle, the MU value is scaled incorrectly.
- Class IITerminated2016-08-18Potentially unrecognized incorrect position of the treatment couch in 3D workflow, i.e. the HexaPOD has not moved fully to the 3D position.
- Class IITerminated2016-08-18In a specific workflow where contours are edited (enlarged, moved, copied, etc.) and then the contour is deleted on some slices and saved in the same session, it is possible that the deleted contours are still present which would not be the intent of the planner.
- Class IIOngoing2016-07-15It is possible that a change to an Order Set will not be saved in the current open Care Plan. This can result in a wrong chemo dose in the order.
- Class IITerminated2016-07-08There have been instances in hospitals where the joint between the drive gear and the gantry base drive wheel has become loose, leading to fatigue failure of some of the securing bolts.
- Class IITerminated2016-06-17It is possible that that the selected Plan-of-the Day could be accidently changed by scrolling the mouse wheel up and down and inadvertently selecting another plan.
- Class IITerminated2016-05-18When DICOM exporting a 3D Monaco plan and the "Composite Field Sequencing" (CFS) checkbox is selected, the Y jaws will snap to the port shape when they should remain where they were defined.
- Class IITerminated2016-05-12If by mistake the initial pre-treatment imaging was performed BEFORE the HexaPOD was moved to the DRIVE (*START) position, iGUIDE offers the possibility to branch into a specific catch-up workflow, which was implemented to use the initial scan data.
- Class IITerminated2016-04-19The latches of the frame adapter can be locked even if the locating pins of the frame adapter is not inserted into the corresponding holes in the coordinate frame.
201511 records
- Class IITerminated2015-12-18When using the option "Tumor Overlap Fraction" in VMAT planning it has been observed that in rare cases the system does include an organ at risk as target volume. This could result in open MLC, and open jaws in areas away from the target volume.
- Class IITerminated2015-12-09Incorrect drug dosage due to "Age Limit" and patient weight data item issue.
- Class IITerminated2015-11-24First Databank (FDB) is a third party product incorporated into MOSAIQ. FDB routinely modifies drugs in their database to reflect market and formulary changes. In FDB Framework v2.0, those drugs are not being included in drug-drug, drug-allergy and duplicate drug therapy interact…
- Class IITerminated2015-10-16Unintended update of Dose and MU and Incorrect Assignment of Bolus.
- Class IITerminated2015-09-15Dose and MU are incorrect when CT images are viewed from the head, and, when using multiple prescriptions with forced densities.
- Class IITerminated2015-08-31Incorrect Treatment Delivery Using Third Party Fixed Wedges.
- Class IITerminated2015-07-01A problem exists in MOSAIQ resulting in the incorrect field size being sent to the treatment machine for stereotactic plans using cones.
- Class IITerminated2015-06-01Memory can become corrupted when creating a fused study via drag and drop in Leksell GammaPlan 10.2.
- Class IITerminated2015-05-21Incorrect dose calculation for Regions of Interest (ROIs) defined on a secondary image series.
- Class IITerminated2015-01-29It is possible to position the Treatment Table with errors greater than 5mm and no inhibits are displayed, if the positional sensors are not correctly installed during corrective maintenance. Clinical mistreatment may occur if a position error is not detected.
- Class IITerminated2015-01-07Elekta has identified a batch of securing bolts that fix the Gantry counter frame weight stack may fail.
201412 records
- Class IITerminated2014-12-19Incorrect CT to ED when using the Monaco Image Statistics Tool.
- Class IITerminated2014-12-19Incorrect CT to ED when using the Monaco Image Statistics Tool.
- Class IITerminated2014-11-03A problem can exist in MOSAIQ resulting in the display of incorrect numeric data due to a dose rounding error on printed reports.
- Class IITerminated2014-10-06Elekta has become aware that the latches may be locked before they have been fully turned resulting in a poorly locked frame.
- Class IITerminated2014-08-18Incorrect Delivery of Composite VMAT Fields - When DICOM is exporting an arc plan (VMAT, Dynamic Conformal or 3D Static Arcs) and using the Composite Field Sequencing (CFS) feature, the DICOM exported plan will not match the approved treatment plan.
- Class IITerminated2014-08-18When DICOM is exporting an arc plan (VMAT, Dynamic Conformal of 3D Static Arcs) and using the Composite Field Sequencing (CFS) feature, the DICOM exported plan will not match the approved treatment plan.
- Class IITerminated2014-05-29A bug in the software prevents the iGUIDE software from logging off.
- Class IITerminated2014-05-29MOSAIQ does not re-calculate the agent volume when the user changes the ordering dose (to other than what was calculated) prior to saving the order.
- Class IITerminated2014-05-23When using CMA, if the user hovers the mouse pointer exactly above the direction dropdowns and then uses the mouse thumbwheel or touchpad scroll bar, the direction selection might change when the intention was only to move the mouse to a different area of the screen.
- Class IITerminated2014-04-23XVI can incorrectly calculate the target position of the treatment table.
- Class IITerminated2014-04-17If screws are not properly tightened with a torque wrench they may become loose over time.
- Class IITerminated2014-02-17Dose and Monitor Unit values are not computed correctly when Elekta Motorized Wedges are used with Dynamic Conformal arcs.
201319 records
- Class IITerminated2013-11-25During the treatment table, gantry, and collimator calibration procedures, it is possible to type incorrect values or invert a value.
- Class IITerminated2013-11-25During the treatment table, gantry, and collimator calibration procedures, it is possible to type incorrect values or invert a value.
- Class IITerminated2013-11-25When the number of fractions is changed for a proton spot beam, the MU are recomputed and rounded if necessary, but the dose is not recalculated as it should be even after saving and re-opening the plan.
- Class IITerminated2013-11-25During the treatment table, gantry, and collimator calibration procedures, it is possible to type incorrect values or invert a value.
- Class IITerminated2013-11-25When bolus is present, the Effective Depth (with bolus) to the weight point returned on the Source Data Report is incorrect.
- Class IITerminated2013-11-25Potential collision risk when using XVI and external beam shaping devices.
- Class IITerminated2013-11-25XVI can incorrectly calculate the target position of the treatment table.
- Class IITerminated2013-08-15Clinical mistreatment may occur when there are errors in the clinical workflow, or settings are incorrect.
- Class IITerminated2013-07-23Potential for clinical errors.
- Class IITerminated2013-07-02Upgrade installation script is designed to overwrite the same pouch files in the Treatment Couch Library with the original default values.
- Class IITerminated2013-05-28Customers are resetting the default values outside recommended factory settings.
- Class IITerminated2013-05-28Customers are resetting the default values outside recommended factory settings.
- Class IITerminated2013-05-22Patient needs to be positioned as indicated by the treatment plan.
- Class IITerminated2013-05-01It is possible for an intermittent error to occur in the gantry sensor of the DMLC IV Systems
- Class IITerminated2013-04-30Unexpected movement during beam delivery may not be detected if there are incorrect static tolerances for Linac Geometric Axes loaded in Integrity R3.0.
- Class IITerminated2013-03-28The problem is that the "static tolerances" from the calibration files (loaded database) are used for beam delivery instead of the machine calculated values.
- Class IITerminated2013-03-14The Column rotation can accidentally be moved to a different position which in the locked position.
- Class IITerminated2013-02-11The beam is displayed at the "gantry" angle, but the dose is calculated at the "rotation_start" angle.
- Class IITerminated2013-01-18If the Apex collimator is incorrectly installed on the radiation head, a touchguard inhibit activates the view restrictions dialog box only shows the top 12 restrictions.
20127 records
- Class IITerminated2012-12-19The DICOM tags do not contain sufficient information for XVI to identify the different volumes that have the same name.
- Class IITerminated2012-09-18A patient was seriously mistreated after a user made and saved an inadvertent change to the definition of a treatment filed in MOSAIQ.
- Class IITerminated2012-08-21During the planning process the beam weights can be changed by the customers. When the beam weights are changed and renumbered and this happens during the dose calculation it is possible to save and reopen the plan without any error messages.
- Class IITerminated2012-08-06There have been a small number of instances in hospitals where the joint between the drive gear and the gantry base drive wheel has become loose, leading to fatigue failure of some of the securing bolts.
- Class IITerminated2012-07-27Information released with the product Agility did not originally contain information on compatibility with the add-on Dynamic Multileaf Collimator Apex.
- Class IITerminated2012-06-21Incorrect patient shift directions when the Setup reference dialog is printed out when the DICOM coordinates option is enabled for reports.
- Class IITerminated2012-06-21Incorrect patient shift directions when the Setup reference dialog is printed out when the DICOM coordinates option is enabled for reports.
Related
Source: U.S. FDA via openFDA (opens in a new tab) (device registration & enforcement). Data as of 2026-10-06. Verify this facility record at FDA → (opens in a new tab)
Cite this record
RegWarden. “ELEKTA BEIJING MEDICAL SYSTEMS CO., LTD (FEI 3009894282) — FDA facility record.” Compiled from U.S. FDA public records (openFDA; FDA Data Dashboard). Data as of 2026-10-06. https://regwarden.com/facility/3009894282-elekta-beijing-medical-systems-co-ltd/
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