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 |





