Recall Register

Device recall: Varian Multileaf Collimator [MLC]; Millenium Multileaf Collimator [52, 80, 120 leaf]; High Definition 120 Multileaf…

Class II FDA enforcement event 85269. Recall start date: . Status in the FDA record: Terminated. Termination date: .

Reason for recall, in the words of FDA

After a recent upgrade to the collimator software version 8.5, the firm became aware that the multi-leaf collimator leaves did not move during an arc treatment. The issue is related to a transient carriage primary- secondary interlock due to carriage fault on the MLC that immediately preceded the initiation of the arc treatment. The issue will occur only with MLC software version 8.5 and only…

Class II, in the words of FDA

a situation in which use of or exposure to a violative product may cause temporary or medically reversible adverse health consequences or where the probability of serious adverse health consequences is remote

Varian Medical Systems, Inc. started this device recall on 12 Aug 2019. The firm address in the FDA record is in Palo Alto, CA. FDA put the recall in Class II. FDA event 85269 has 1 product record. The first FDA enforcement report date is 13 May 2020. The record gives the status Terminated, with the termination date 21 Jan 2021.

It is important to note that most of the time recall classifications are determined after the recalling firm provides all of the information needed to determine the risk posed to public health. The classification and posting in the FDA Enforcement Report should not be seen as an expansion or change to a firm’s voluntary public warning.

FDA publishes these words. Source: FDA, Enforcement Reports, Important Note, read on . openFDA export of .

Distribution

In the words of FDA.

Worldwide distribution - US Nationwide distribution including in the states of TN, FL, IN, PA, NV, WA, DC, CA, AL, IL, MD, VA, TX, MN, AR, GA, OR, MS, MO, NY, SC, DE, AZ, NH, MI, NC, OH, PA and OK.…

Recalling firm

Varian Medical Systems, Inc., Palo Alto, CA.

Recalling firm: The firm that the FDA record names for a recall.

FDA records how the recall started: Voluntary: Firm initiated.

Products

1 product record in the event.

FDA event 85269: product records
Recall numberProductQuantityClassStatusReport date
Z-1899-2020Varian Multileaf Collimator [MLC]; Millenium Multileaf Collimator [52, 80, 120 leaf]; High Definition 120 Multileaf Collimator Model Number(s): product code: H54 and H56; MLC software version 8.5 - Product Usage: is intended to assist the clinician in the delivery of external beam radiation to defined target volumes…151 unitsClass IITerminated13 May 2020

openFDA, about the status: FDA does not update the status of a recall after the recall has been classified according to its level of hazard. As such, the status of a recall (open, completed, or terminated) will remain unchanged after published in the Enforcement Reports. Source: openFDA, Drug Recall Enforcement Reports, Disclaimer.

Enforcement report: The FDA publication that lists recalls. It has one record for each product of a recall.

Enforcement event: All the product records that have one FDA event number. This site shows one event on one page.

Class II: The middle of the three FDA recall classes.

The event in context

Device events that started in 2019
968
Share of these events in Class II
88%
Product records in this event
1Median of the firm: 1
Events of the firm on the register
19

Other events of the firm

Other FDA enforcement events of Varian Medical Systems, Inc.
InitiatedProduct (first record)TypeClassRecords
26 Dec 2018Eclipse(TM) Treatment Planning System with Proton Convolution Superposition algorithm license only The Eclipse TreatmentDeviceClass II1
2 Dec 2016Eclipse Treatment Planning System version 13.MR2 [13.06.31 with Smart Segmentation Knowledge Based Contouring version 2.DeviceClass II1
13 Sep 2016Varian Head Frame - Model number HHF -ALL Head Frame Posts (PN1008016 ) and Post Kits (PN1008016). The Varian Head FrameDeviceClass II1
23 Jun 2016Optical Surface Monitoring System{OSMS, Varian Private Label} This is used on Varian's TrueBeam EDGE; Radiology: The AliDeviceClass II2
11 Jan 2016Eclipse Treatment Planning System versions 11, 13.0, 13.5 and 13.6; Model number: H48; Product Usage: The Eclipse TreatmDeviceClass II1
28 Sep 2015ARIA Radiation Oncology, versions 10, 11 , 13.0 and 13.5 with Clinical Assessment License. Model number HIT Product UsagDeviceClass II1
18 May 2015The VariSource iX series afterloader systems are computer controlled remote electro/mechanical systems used for medical DeviceClass II1
18 May 2015Surface Applicator Set with Leipzig-style Cone. Brachytherapy applicator set.DeviceClass II1
18 Aug 20144D Integrated Treatment Console (4DITC), versions 10 and 11. 4DITC provided assistance for accurate treatment delivery bDeviceClass II1
17 Jun 2014C-Series High Energy Linear Accelerator - Models: Novalis Tx, Trilogy, Trilogy Tx, Clinac iX, Clinac 2100 C/D, Clinac 23DeviceClass II1

Varian Medical Systems, Inc.: all 19 events

Official channels

Cite this page

Recall Register. FDA enforcement event 85269. https://recallregister.com/fda/ii/85269/. Source: openFDA enforcement reports. Data through .

Sources

Source
openFDA device enforcement reports
Licence
CC0 1.0
Export date
28 Sep 2026
Newest FDA report date on the register
23 Sep 2026

FDA has one record for each product. This site puts the records with the same event number on one page. The class of the event is the highest class of its records. How the register is made. Report an error.

Questions

Where was the product distributed?
The FDA record gives this distribution: Worldwide distribution - US Nationwide distribution including in the states of TN, FL, IN, PA, NV, WA, DC, CA, AL, IL, MD, VA, TX, MN, AR, GA, OR, MS, MO, NY, SC, DE, AZ, NH, MI, NC, OH, PA and OK.…
What quantity of product is in FDA event 85269?
The FDA record gives this quantity: 151 units
How did the recall start?
The FDA record says: Voluntary: Firm initiated
How many device recalls of 2019 have the same class?
88% of the 968 device events that started in 2019 are in Class II.