Mevion S250 and S250i Proton Therapy Systems hand pendant (P/N 10263 or P/N 37808)
FDA Device Recall #Z-0827-2022 — Class II — February 1, 2022
Recall Summary
| Recall Number | Z-0827-2022 |
| Classification | Class II — Moderate risk |
| Date Initiated | February 1, 2022 |
| Status | Ongoing |
| Voluntary | Voluntary: Firm initiated |
Recalling Firm
| Firm | Mevion Medical Systems, Inc. |
| Location | Littleton, MA |
| Product Type | Devices |
| Quantity | 39 (36 US, 3 OUS) |
Product Description
Mevion S250 and S250i Proton Therapy Systems hand pendant (P/N 10263 or P/N 37808)
Reason for Recall
Malfunction of the hand pendant controlling movement of the therapy couch and nozzle may result in unintentional motion. Patient injury is possible if they come in contact with the nozzle or other objects in the treatment room.
Distribution Pattern
Worldwide distribution - US Nationwide distribution in the states of FL, MO, NJ, OH, OK, UT, DC and the country of Netherlands.
Lot / Code Information
All theryapy systems, all hand pendant serial numbers. Therapy system UDI 00864366000100 and UDI 00864366000124.
Other Recalls from Mevion Medical Systems, Inc.
| Recall # | Classification | Product | Date |
|---|---|---|---|
| Z-0485-2021 | Class II | MEVION S250i, MEVION S250; Proton Radiation Tre... | Oct 19, 2020 |
| Z-2686-2020 | Class II | MEVION S250 Proton Radiation Treatment System; ... | Jun 23, 2020 |
| Z-2406-2020 | Class II | MEVION S250i, MEVION S250; Proton Radiation Tre... | May 15, 2020 |
| Z-0705-2019 | Class II | MEVION S250i | Oct 1, 2018 |
| Z-2746-2018 | Class II | MEVION S250/MEVION S250i Proton Beam Radiation ... | Jun 29, 2018 |
Frequently Asked Questions
Contact your healthcare provider and the device manufacturer immediately. Check whether your specific model number and lot number are included in the recall scope. For external devices, stop using the affected product and arrange a replacement. For implanted devices, do not panic — removal is typically not required unless the risk assessment clearly indicates it. Your physician will guide you based on your individual clinical situation and the FDA's recommended actions. Report any adverse effects you may have experienced to FDA MedWatch at 1-800-FDA-1088.
Class I recalls indicate a reasonable probability of serious adverse health consequences or death from the defect. Class II recalls involve products that may cause temporary or medically reversible adverse health consequences, or where serious consequences are remote. Class III recalls cover products not likely to cause any adverse health consequences, typically involving technical regulatory violations. The classification guides urgency — Class I recalls require immediate action, while Class III may simply involve returning a product or acknowledging a labeling change. Always read the specific recall notice for recommended patient actions.
Report problems with medical devices to the FDA through MedWatch at 1-800-FDA-1088 or online at FDA.gov/safety/medwatch. Healthcare facilities are required by law to report device-related serious injuries and deaths. Patients and consumers can also report voluntarily. Include the device name, manufacturer, model number, and a description of the problem and any patient outcome. Reports from patients and clinicians help the FDA identify emerging safety signals and may trigger investigations that lead to recalls of dangerous devices.
What Should You Do?
Stop using this device if you are affected by this recall. Contact your healthcare provider and the manufacturer immediately for guidance. Report adverse events to FDA MedWatch.