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FDA Device recall Z-0020-2015

Proteus 235 Proton Therapy System for cancer treatment

On 2014-11-05 the FDA classified a Class II recall of Proteus 235 Proton Therapy System for cancer treatment by Ion Beam Applications, citing while the Proteus 235 is in the pencil beam scanning (PBS) treatment mode, on rare occasions, Low Level Radio Frequency (LLRF) pulsed dee voltage (i.e., voltage applied between tw….

Read the official FDA Device notice

AgencyFDA Device
Recall numberZ-0020-2015
ClassificationClass II
Statusterminated
Initiated2014-03-27
Published2014-11-05
Last updated2026-09-13 11:53 UTC
CompanyIon Beam Applications
DistributionUS

Product

Proteus 235 Proton Therapy System for cancer treatment.

Reason

While the Proteus 235 is in the pencil beam scanning (PBS) treatment mode, on rare occasions, Low Level Radio Frequency (LLRF) pulsed dee voltage (i.e., voltage applied between two electrodes in the cyclotron to accelerate protons) may generate a hot spot on a pencil beam position within a tumor, generating a dose that might exceed the prescribed dose on a single voxel.

Identifiers

code_infoPAT.107, PAT.109, PAT.112, PAT.113, PAT.114, PAT.115, PAT.116, PAT.119.

Status history

No status changes recorded since RecallRadar first saw this recall on 2026-09-13 11:53 UTC. Current status: terminated.

Source

Official record: https://api.fda.gov/device/enforcement.json?search=recall_number:%22Z-0020-2015%22

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