Database updated: 27 October 2026

Safety Information

Medsafe Online Recall Database

Detail of Recall

Type of Product:Device
Medsafe Reference:15626
Brand Name:Varian Clinac, Trilogy, Trilogy Tx, Novalis Tx, and Unique Accelerators
Model:Product Codes: H14, H18, H27, H29
Affected:Versions: 7.x, 8.x, 9.0
Software version:
Recalling Organisation:Varian Medical Systems Australasia Pty Ltd (NZ)
Millenium Centre, Level 3, Building C, 600 Great
South Road Ellerslie
Auckland 1051
Contact Information:0800 486 732
Manufacturer:Varian Medical Systems Inc
Issue:Events have been reported in which a user has remotely rotated the gantry into contact with the couch or with patients, in both the manual mode and the automated mode. In one event, a patient was reported injured when the user operating the gantry in manual mode, rotated the gantry of a Clinac® 21EX into physical contact with the patient's pelvis. This event involved use of remote manual control of gantry rotation (i.e. controlled manually from outside the treatment vault). Such a motion is not a preprogrammed motion and is exclusively under the control of the operator.
Recall action type:Correction
Recall action:Software to be upgraded
Level of recall:Hospital/Pharmacy/Laboratory
Date Commenced:6/11/2013
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