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FDA recall, , Moderate risk

RefleXion X1 Radiotherapy System

The RefleXion X1 Radiotherapy System has a software defect that can deliver the treatment dose to an incorrect location.

What happened

Reflexion Medical, Inc. of Hayward, California recalled the Reflexion X1 Radiotherapy System Model RXM1000, Part #800-00006-00, due to a software defect.

The 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.

The recall began February 9, 2026, and was added to the FDA's Enforcement Report on March 27, 2026.

What to do

We don't have product-specific instructions for this recall. FDA's general advice for medical device recalls:

  1. A device recall doesn't always mean you must stop using it: it may need to be checked, adjusted or fixed.
  2. Talk to your health care provider before you stop using it.

Is yours affected?

Match the model number and UDI-DI listed under your product.

A UDI-DI is the device identifier printed with the barcode on the device label.

  1. RefleXion X1 Radiotherapy System

    Model number
    • RXM1000
    • Part #800-00006-00
    UDI-DI
    • 00860003983812

Recall details

Company began the recall
Company
Reflexion Medical, Inc.Hayward, California
Risk

Moderate risk

Using it may cause short-term health problems, or ones that treatment can reverse. Serious harm is unlikely.

FDA Class II recall · How risk is rated

Event ID
98518
Recall number
Z-1656-2026

Timeline

FDA's Enforcement Report is its public list of recalls; FDA adds a recall when it posts it and publishes the list weekly.

  1. Company began the recall

  2. Added to FDA's Enforcement Report · Classified by FDA

  3. In FDA's weekly enforcement report

  4. Listed on Recall Canary

  5. Summary updated

Summary by Recall Canary, written with AI · summary updated Oct 2, 2026 · primary source: U.S. Food and Drug Administration (opens in a new tab)