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Use caution Medical device recall · FDA · Published July 22, 2025

Reflexion X1 Radiation Therapy System Recall: Software Issue May Cause Toxicity

Reflexion Medical recalls specific models of X1 radiation therapy systems due to software configuration that could allow more than two fractions in 12 hours, potentially causing toxicity. Affected units have unique UDI codes listed.

🇺🇸 FDA recall #Z-2486-2025Medical deviceReflexion Medical ›
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Recalling firmReflexion Medical, Inc.25881 Industrial Blvd · Hayward, CA 94545-2991
✎ GovInfoNow plain-language explainer

Reflexion Medical is recalling specific models of their X1 radiation therapy systems because of a software issue that might let the device deliver more than two treatment fractions within a 12-hour period. This could lead to toxicity in patients receiving radiation therapy. Read more at govinfonow.com/recall/51760-reflexion-x1-radiation-therapy-system-recall-software-issue-may-cause.

Source Summary by GovInfoNow · govinfonow.com/recall/51760-reflexion-x1-radiation-therapy-system-recall-software-issue-may-cause · Updated August 17, 2026 · FDA enforcement record: FDA #Z-2486-2025

Cite this page

“Reflexion X1 Radiation Therapy System Recall: Software Issue May Cause Toxicity.” GovInfoNow, updated August 17, 2026. https://govinfonow.com/recall/51760-reflexion-x1-radiation-therapy-system-recall-software-issue-may-cause. Based on FDA recall #Z-2486-2025 (https://api.fda.gov/device/enforcement.json?search=recall_number:%22Z-2486-2025%22&limit=1).

The FDA announced on July 22, 2025, that Reflexion Medical, Inc. is recalling its RefleXion X1 Model RXM1000 radiation therapy systems due to a software configuration error that could lead to toxicity. The agency reported the Class II recall of 11 units distributed nationwide.

How to tell if you have it

  • Brand: Reflexion Medical
  • Product: RefleXion X1 Model RXM1000
  • UDI Codes: (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
  • UPC: 00860003983812
  • Distribution: CA, CT, LA, NJ, OR, PA, and TX

The hazard

According to the FDA, the recall is due to an incorrect software configuration that potentially allows more than two fractions within a 12-hour period. This error could potentially lead to adverse events, including toxicity.

Context

GovInfoNow's records show Reflexion Medical, Inc. has issued three other recalls since November 24, 2021, including software defect and dose discrepancy issues on February 9, 2026, April 16, 2024, and November 24, 2021. Other recent recalls of similar products include RayStation/RayPlan Software Recall: Radiation Dose Calculation Errors (November 28, 2025) and RayStation/RayPlan Software 11A Recalls: Radiation Dose Calculation Risk (November 28, 2025).

How to tell if you have this one

Check the UDI codes on your device. Affected units have specific serial numbers starting with (01)00860003983812 followed by a date code and model number (e.g., (11)230504(21)X11001).

  • Brand
    Reflexion Medical
  • Product
    RefleXion X1 Model RXM1000 UDI Codes: (01)00860003983812(11)230504(21)X11001 (01)00860003983812(11)230518(21)X11002
  • Category
    Medical device
Based on the official FDA remedy

What to do — step by step

  1. Check Device UDI Codes

    Look for the unique device identifier codes on your RefleXion X1 model. Affected units have specific UDI codes listed in the recall notice.

Where it went and when

Where it was distributed

Distributed nationwide; the notice names 7 states.

Alaska: nationwideAKMaine: nationwideMEVermont: nationwideVTNew Hampshire: nationwideNHWashington: nationwideWAIdaho: nationwideIDMontana: nationwideMTNorth Dakota: nationwideNDMinnesota: nationwideMNIllinois: nationwideILWisconsin: nationwideWIMichigan: nationwideMINew York: nationwideNYRhode Island: nationwideRIMassachusetts: nationwideMAOregon: named in the noticeORNevada: nationwideNVWyoming: nationwideWYSouth Dakota: nationwideSDIowa: nationwideIAIndiana: nationwideINOhio: nationwideOHPennsylvania: named in the noticePANew Jersey: named in the noticeNJConnecticut: named in the noticeCTCalifornia: named in the noticeCAUtah: nationwideUTColorado: nationwideCONebraska: nationwideNEMissouri: nationwideMOKentucky: nationwideKYWest Virginia: nationwideWVVirginia: nationwideVAMaryland: nationwideMDDelaware: nationwideDEArizona: nationwideAZNew Mexico: nationwideNMKansas: nationwideKSArkansas: nationwideARTennessee: nationwideTNNorth Carolina: nationwideNCSouth Carolina: nationwideSCDistrict of Columbia: nationwideDCOklahoma: nationwideOKLouisiana: named in the noticeLAMississippi: nationwideMSAlabama: nationwideALGeorgia: nationwideGAHawaii: nationwideHITexas: named in the noticeTXFlorida: nationwideFL

FDA distribution: “U.S. Nationwide distribution in the states of CA, CT, LA, NJ, OR, PA, and TX.” States read from FDA’s own wording; “not listed” means the notice does not name it.

Named in the notice: California, Connecticut, Louisiana, New Jersey, Oregon, Pennsylvania, Texas.

Recall timeline

FDA published this recall 50 days after the firm started it.

1. Firm started the recall: Jul 22, 202512. FDA classified it Class II: Sep 2, 202523. Published in FDA’s Enforcement Report: Sep 10, 202532025
  1. Firm started the recall
  2. FDA classified it Class II
  3. Published in FDA’s Enforcement Report

Dates from the agency record only; steps without a date are left out.

✎ GovInfoNow

Questions people ask

Do I need to stop using the device immediately?

No, but you should check the UDI codes to see if your device is affected. The recall does not require immediate discontinuation but requires verification of the device's serial number.

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Where this comes from

The facts (hazard, remedy, dates, manufacturer) are pulled from the official FDA recall record. The plain-language summary and step-by-step checklist are written by GovInfoNow to make the official notice easier to act on — they don’t replace it.

  • Official source: FDA Recall #Z-2486-2025 (July 22, 2025) — FDA publishes no per-recall page; this is the official machine-readable enforcement record. Search FDA recalls for Z-2486-2025 to see it in context.
  • Plain-language summary written by qwen3:4b on August 17, 2026, from the official record above. Not reviewed by a person — if it conflicts with the FDA notice, the notice is correct. Report an error on this page.
  • GovInfoNow is an independent service and is not a government agency. We republish official FDA recall data; we don’t issue, amend or administer recalls.
GovInfoNow is an independent guide. We are not FDA or any government agency. Always confirm details with the official recall.Data: CPSC · FDA · NHTSA · USDA