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Use caution Medical device recall · FDA · Published November 24, 2021

Reflexion Medical RXM1000 Radiotherapy System Recall: Dose Discrepancy in Feet First

Reflexion Medical recalls RXM1000 radiotherapy systems due to dose discrepancies when treating patients in Feet First Supine (FFS) positions. Affected units have specific serial numbers and model labels.

🇺🇸 FDA recall #Z-0470-2022Medical deviceReflexion Medical ›
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Contact the company

Recalling firmReflexion Medical, Inc.25881 Industrial Blvd · Hayward, CA 94545-2991
✎ GovInfoNow plain-language explainer

What happened, in plain English

Reflexion Medical is recalling its RXM1000 radiotherapy systems because they can deliver incorrect radiation doses when treating patients in a Feet First Supine (FFS) position. This could lead to improper treatment and potential health risks if not corrected. Read more at govinfonow.com/recall/61503-reflexion-medical-rxm1000-radiotherapy-system-recall-dose-discrepancy-in-feet.

Source Summary by GovInfoNow · govinfonow.com/recall/61503-reflexion-medical-rxm1000-radiotherapy-system-recall-dose-discrepancy-in-feet · Updated August 19, 2026 · FDA enforcement record: FDA #Z-0470-2022

Cite this page

“Reflexion Medical RXM1000 Radiotherapy System Recall: Dose Discrepancy in Feet First.” GovInfoNow, updated August 19, 2026. https://govinfonow.com/recall/61503-reflexion-medical-rxm1000-radiotherapy-system-recall-dose-discrepancy-in-feet. Based on FDA recall #Z-0470-2022 (https://api.fda.gov/device/enforcement.json?search=recall_number:%22Z-0470-2022%22&limit=1).

Why it’s dangerous

The system may deliver incorrect radiation doses when treating patients in a Feet First Supine (FFS) orientation. This dose discrepancy could result in improper treatment and potential health risks if the error is not corrected.

Who’s affected

Healthcare providers using the RefleXion RXM1000 radiotherapy system for cancer treatment are most at risk. Patients receiving treatment in Feet First Supine positions may be affected.

How to tell if you have this one

Check for the system label: "*** refleXion REF RXM1000 ***" on the device. Affected units have specific serial numbers starting with X11001, X11002, or X11003.

  • Brand
    Reflexion Medical
  • Product
    RefleXion Medical Radiotherapy System - System Label: "*** refleXion REF RXM1000 ***" Physics Guide/Treatment Delivery
  • Category
    Medical device
Based on the official FDA remedy

What to do — step by step

  1. Check System Label

    Look for the label: "*** refleXion REF RXM1000 ***" on the device.

Where it went and when

Where it was distributed

Distributed nationwide; the notice names 2 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: nationwideOHPennsylvania: nationwidePANew Jersey: nationwideNJConnecticut: nationwideCTCalifornia: 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: nationwideLAMississippi: nationwideMSAlabama: nationwideALGeorgia: nationwideGAHawaii: nationwideHITexas: named in the noticeTXFlorida: nationwideFL

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

Named in the notice: California, Texas.

Recall timeline

FDA terminated this recall 2.6 years after the firm started it.

1. Firm started the recall: Nov 24, 202112. FDA classified it Class II: Jan 10, 202223. Published in FDA’s Enforcement Report: Jan 19, 202234. FDA terminated the recall: Jul 8, 2024420212024
  1. Firm started the recall
  2. FDA classified it Class II
  3. Published in FDA’s Enforcement Report
  4. FDA terminated the recall

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-0470-2022 (November 24, 2021) — FDA publishes no per-recall page; this is the official machine-readable enforcement record. Search FDA recalls for Z-0470-2022 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