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Use caution Medical device recall · FDA · Published February 1, 2022

Mevion S250 Hand Pendant Recall: Unintentional Motion Risk

Mevion recalls S250 and S250i proton therapy hand pendants with risk of unintended motion causing patient injury. Affected units have specific serial numbers and UDI codes.

🇺🇸 FDA recall #Z-0827-2022Medical deviceMevion ›
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Recalling firmMevion Medical Systems, Inc.300 Foster St · Littleton, MA 01460-2017
✎ GovInfoNow plain-language explainer

Mevion is recalling hand pendants for proton therapy systems that could move unintentionally during treatment, potentially causing injury to patients. This recall affects specific models and serial numbers used in cancer treatment facilities. Read more at govinfonow.com/recall/61193-mevion-s250-hand-pendant-recall-unintentional-motion-risk.

Source Summary by GovInfoNow · govinfonow.com/recall/61193-mevion-s250-hand-pendant-recall-unintentional-motion-risk · Updated August 19, 2026 · FDA enforcement record: FDA #Z-0827-2022

Cite this page

“Mevion S250 Hand Pendant Recall: Unintentional Motion Risk.” GovInfoNow, updated August 19, 2026. https://govinfonow.com/recall/61193-mevion-s250-hand-pendant-recall-unintentional-motion-risk. Based on FDA recall #Z-0827-2022 (https://api.fda.gov/device/enforcement.json?search=recall_number:%22Z-0827-2022%22&limit=1).

The FDA announced on Feb. 1, 2022, that Mevion Medical Systems, Inc. is recalling Mevion S250 and S250i Proton Therapy Systems hand pendants due to malfunction risks. The agency stated the recall is voluntary and ongoing.

How to tell if you have it

  • Brand: Mevion
  • Product: Mevion S250 and S250i Proton Therapy Systems hand pendant
  • Part Number: P/N 10263 or P/N 37808
  • UDI: 00864366000100 and UDI 00864366000124

The hazard

According to the FDA, a malfunction of the hand pendant controlling movement of the therapy couch and nozzle may result in unintentional motion. Patient injury is possible if they come in contact with the nozzle or other objects in the treatment room.

Context

GovInfoNow's records show Mevion Medical Systems, Inc. has had five other recalls since June 29, 2018. Other recent recalls of similar products include Canon Alphenix INFX-8000H X-ray System Recall (Dec. 19, 2025), Canon Alphenix INFX-8000C X-ray System Recall (Dec. 19, 2025), and Merit Medical Custom Procedure Kit Recall (Dec. 4, 2025).

How to tell if you have this one

Check for hand pendants with serial numbers P/N 10263 or P/N 37808. The therapy system UDI codes 00864366000100 and 00864366000124 are also affected.

  • Brand
    Mevion
  • Category
    Medical device
Based on the official FDA remedy

What to do — step by step

  1. Check Hand Pendant Serial Numbers

    Look for serial numbers P/N 10263 or P/N 37808 on the hand pendant.

  2. Contact Facility for Verification

    Confirm if your therapy system has the affected UDI codes 00864366000100 or 00864366000124.

Where it went and when

Where it was distributed

Distributed nationwide and abroad; the notice names 6 states.

Alaska: nationwideAKMaine: nationwideMEVermont: nationwideVTNew Hampshire: nationwideNHWashington: nationwideWAIdaho: nationwideIDMontana: nationwideMTNorth Dakota: nationwideNDMinnesota: nationwideMNIllinois: nationwideILWisconsin: nationwideWIMichigan: nationwideMINew York: nationwideNYRhode Island: nationwideRIMassachusetts: nationwideMAOregon: nationwideORNevada: nationwideNVWyoming: nationwideWYSouth Dakota: nationwideSDIowa: nationwideIAIndiana: nationwideINOhio: named in the noticeOHPennsylvania: nationwidePANew Jersey: named in the noticeNJConnecticut: nationwideCTCalifornia: nationwideCAUtah: named in the noticeUTColorado: nationwideCONebraska: nationwideNEMissouri: named in the noticeMOKentucky: nationwideKYWest Virginia: nationwideWVVirginia: nationwideVAMaryland: nationwideMDDelaware: nationwideDEArizona: nationwideAZNew Mexico: nationwideNMKansas: nationwideKSArkansas: nationwideARTennessee: nationwideTNNorth Carolina: nationwideNCSouth Carolina: nationwideSCDistrict of Columbia: named in the noticeDCOklahoma: named in the noticeOKLouisiana: nationwideLAMississippi: nationwideMSAlabama: nationwideALGeorgia: nationwideGAHawaii: nationwideHITexas: nationwideTXFlorida: named in the noticeFL

FDA distribution: “Worldwide distribution - US Nationwide distribution in the states of FL, MO, NJ, OH, OK, UT, DC and the country of Netherlands.” States read from FDA’s own wording; “not listed” means the notice does not name it.

Named in the notice: District of Columbia, Florida, Missouri, New Jersey, Ohio, Oklahoma, Utah.

Recall timeline

FDA published this recall 2 months after the firm started it.

1. Firm started the recall: Feb 1, 202212. FDA classified it Class II: Mar 25, 202223. Published in FDA’s Enforcement Report: Apr 6, 202232022
  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.

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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-0827-2022 (February 1, 2022) — FDA publishes no per-recall page; this is the official machine-readable enforcement record. Search FDA recalls for Z-0827-2022 to see it in context.
  • Plain-language summary written by qwen3:4b on August 19, 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