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RefleXion X1 Radiotherapy System Model RXM1000
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MEDICAL DEVICE RECALLMODERATE

RefleXion X1 Radiotherapy System Model RXM1000

RefleXion X1 Radiotherapy System Model RXM1000 recalled for software defect causing incorrect radiation dose delivery.

What to do

Contact RefleXion Medical immediately if you operate or manage this system. Do not perform angular roll corrections followed by repeat localization until the software update is applied. Verify with the manufacturer that your system has received the corrective software patch before resuming affected procedures.

Recalled
Listed
Updated
Recall No.
Z-1656-2026
Agency
FDA
Firm
Reflexion Medical, Inc.
Recall ID
98518
Status
ONGOING

Why it was recalled

RefleXion Medical is recalling the RefleXion X1 Radiotherapy System Model RXM1000 (Part #800-00006-00) due to a software defect. When angular roll corrections are followed by repeat localization, the corrections are not carried through to treatment delivery, potentially causing radiation dose to be delivered to an incorrect location with a displacement of 5mm or higher and 10–20% underdose.

Is mine affected?

Check the model, lot, or serial number on the device or its packaging. Yours is affected if it matches one below.

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

UDI-DI
00860003983812, 00860003983812, 00860003983812, 00860003983812, 00860003983812, 00860003983812, 00860003983812, 00860003983812, 00860003983812, 00860003983812, 00860003983812, 00860003983812

Where it was sold

Distributed in California, Connecticut, Louisiana, New Jersey, Ohio, Oregon, Pennsylvania, and Texas.

Timeline

  1. Firm initiated recall
  2. Publicly announced
  3. Listed on Recall Canary
  4. Summary updated
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Editorial summary by Recall Canary · summary updated 2026-04-27 · primary source: U.S. Food and Drug Administration · severity reflects the agency's published classification