FDA-Device2026-04-08Class IIPROCESSING DEFECT

RefleXion X1 Radiotherapy System recalled for software defect causing misaligned radiation dose delivery

What this means

RefleXion Medical's X1 Radiotherapy System has a software defect that can cause radiation treatment to be delivered to the wrong location when certain positioning corrections are made. This may result in radiation doses being delivered 5mm or more away from the intended target, with possible underdosing of 10% to 20%. The issue affects 12 systems running specific software versions.

  • If you operate or manage a RefleXion X1 system, contact RefleXion Medical immediately for a software update
  • Do not perform angular roll corrections followed by repeat localization until the fix is applied
  • Review recent treatment records to verify positioning accuracy if your system uses affected software versions
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The agency's original wording
Hazard

Due to a radiotherapy medical system software defect, when performing angular roll corrections followed by a repeat localization, the roll corrections applied in the initial localization scan are not carried through to treatment delivery leading to the treatment plan dose being delivered to the incorrect location, potentially a displacement of 5mm or higher, with a 10% to 20% underdose.

Intended for
Adults
Illnesses reported
None reported
Sold states
US: CA, TX, PA, CT, NJ, OR, LA, OH
Affected count
12
Manufactured in
25881 Industrial Blvd, Hayward, CA, United States
Products
RefleXion X1 Radiotherapy System Model RXM1000, Part #800-00006-00

Official notice

https://www.accessdata.fda.gov/scripts/ires/index.cfm?Product=Z-1656-2026

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