Recall Ledger

RefleXion X1 Radiotherapy System Model RXM1000 recall (Reflexion Medical, Inc.)

Medical deviceClass IIOngoing

Summary: Reflexion Medical, Inc. is recalling RefleXion X1 Radiotherapy System Model RXM1000, Part #800-00006-00. Reason: 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.

What is being recalled

RefleXion X1 Radiotherapy System Model RXM1000, Part #800-00006-00

Why

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.

How serious is it

Class II is the middle level: using or being exposed to this product may cause temporary or medically reversible health problems, and the chance of serious harm is remote.

Where it was sold

US: CA, TX, PA, CT, NJ, OR, LA, OH (states named: California, Connecticut, Louisiana, New Jersey, Ohio, Oregon, Pennsylvania, Texas)

How to tell if yours is affected

Software Version: 2.1.29-4 and Software Version: 2.1.35-1. UDI: (01)00860003983812(11)230504(21)X11001, (01)00860003983812(11)230518(21)X11002, (01)00860003983812(11)230505(21)X11003, (01)00860003983812(11)230530(21)X11004, (01)00860003983812(11)230811(21)X11006, (01)00860003983812(11)230410(21)X11007, (01)00860003983812(11)230803(21)X11008, (01)00860003983812(11)240528(21)X11009, (01)00860003983812(11)240820(21)X11010, (01)00860003983812(11)241107(21)X11011, (01)00860003983812(11)241206(21)X11012, (01)00860003983812(11)250731(21)X11013.

What to do

Check the model, lot or serial numbers above against your device. If yours is affected, contact the manufacturer or your healthcare provider before you stop using a device you rely on.

Recall facts

Recall numberZ-1656-2026
CategoryMedical device
AgencyU.S. Food and Drug Administration (FDA)
SeverityClass II
StatusOngoing
Recall startedFebruary 9, 2026
ReportedApril 8, 2026
CompanyReflexion Medical, Inc.
Company locationHayward, CA, United States
Initiated byVoluntary: Firm initiated
Quantity12

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Official FDA record