Database updated: 27 October 2026

Safety Information

Medsafe Online Recall Database

Detail of Recall

Type of Product:Device
Medsafe Reference:16786
Brand Name:Siemens Digital Linear Accelerator ARTISTE, ONCOR and PRIMUS
Model:
Affected:
Software version:
Recalling Organisation:Siemens Healthcare (NZ) Ltd
Millennium Centre, Part Level 2, Building A
600 Great South Road
Ellerslie
AUCKLAND 1051
Contact Information:0800 310 300
Manufacturer:Siemens AG
Issue:Siemens became aware of an incident where a patient was pinched between the moving gantry and the tabletop during an auto-sequenced treatment. In this case, an automatic gantry movement during an auto-sequenced treatment led to the collision because:
* The auto-sequenced treatment has been created including beams with table angles.
AND
* No dry run has been performed.
AND
* The therapist did not monitor the patient during treatment delivery.
Recall action type:Correction
Recall action:Manufacturer to issue advice regarding use
Level of recall:Hospital/Pharmacy/Laboratory
Date Commenced:4/6/2014
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