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Use caution Medical device recall · FDA · Published March 1, 2021

Brainlab ExacTrac Dynamic: Software error risks unsafe radiation treatment

Brainlab recalls ExacTrac Dynamic radiation therapy systems with software versions 1.0.0-1.0.2 due to potential unsafe patient positioning during treatment. Affected units may allow treatment to proceed when patient is out of safe range.

🇺🇸 FDA recall #Z-1185-2021Medical deviceBrainlab ›
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Recalling firmBrainlab AGOlof-palme-str. 9 · Munich, Germany
✎ GovInfoNow plain-language explainer

Brainlab is recalling ExacTrac Dynamic radiation therapy systems with specific software versions because a software error could cause the system to allow treatment to proceed when the patient is actually outside safe positioning limits. This could lead to unsafe radiation exposure if the system incorrectly shows the patient is within acceptable positioning tolerances. Read more at govinfonow.com/recall/63182-brainlab-exactrac-dynamic-software-error-risks-unsafe-radiation-treatment.

Source Summary by GovInfoNow · govinfonow.com/recall/63182-brainlab-exactrac-dynamic-software-error-risks-unsafe-radiation-treatment · Updated August 19, 2026 · FDA enforcement record: FDA #Z-1185-2021

Cite this page

“Brainlab ExacTrac Dynamic: Software error risks unsafe radiation treatment.” GovInfoNow, updated August 19, 2026. https://govinfonow.com/recall/63182-brainlab-exactrac-dynamic-software-error-risks-unsafe-radiation-treatment. Based on FDA recall #Z-1185-2021 (https://api.fda.gov/device/enforcement.json?search=recall_number:%22Z-1185-2021%22&limit=1).

Brainlab AG voluntarily recalled the ExacTrac Dynamic Medical Charged-Particle Radiation Therapy System on March 1, 2021, according to the FDA. A software error may cause display parts to incorrectly indicate patient position within tolerances, potentially allowing treatment despite exceeding shift values.

How to tell if you have it

  • Brand: Brainlab
  • Product: ExacTrac Dynamic (Medical Charged-Particle Radiation Therapy System)
  • Model/catalogue number: 20910-06 ETD Implanted lic.
  • GTIN: 04056481142315
  • GMDN code: 40887
  • Software revisions: versions 1.0.0, 1.0.1, 1.0.2

The hazard

A failed automatic marker detection causes a software error where parts of the display incorrectly behave as if the current patient position is within predefined tolerances. This may allow the user to proceed to treatment despite potentially exceeding shift values.

Context

GovInfoNow's records show Brainlab AG has 15 other recalls on record since July 28, 2017. Other recent recalls of similar products include Brainlab Origin Data Management Software Recalled (2025-02-10), Brainlab Cirq Arm System 2.0 Recall (2023-03-02), and Brainlab ExacTrac Software Recall (2023-02-14). Other recent recalls of similar products include Hitachi Proton Beam Therapy System Recall (2026-02-06) and RayStation/RayPlan Software Recall (2025-11-28).

How to tell if you have this one

Check if your ExacTrac Dynamic system has software versions 1.0.0, 1.0.1, or 1.0.2. The system model number is 20910-06 ETD Implanted lic. and the GTIN is 04056481142315.

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

What to do — step by step

  1. Check Software Version

    Verify your ExacTrac Dynamic system's software version to see if it is 1.0.0, 1.0.1, or 1.0.2.

Where it went and when

Where it was distributed

Distributed in 8 states, and outside the U.S.

Alaska: not listedAKMaine: not listedMEVermont: not listedVTNew Hampshire: not listedNHWashington: not listedWAIdaho: not listedIDMontana: not listedMTNorth Dakota: not listedNDMinnesota: not listedMNIllinois: not listedILWisconsin: not listedWIMichigan: not listedMINew York: yesNYRhode Island: not listedRIMassachusetts: not listedMAOregon: yesORNevada: not listedNVWyoming: not listedWYSouth Dakota: not listedSDIowa: not listedIAIndiana: yesINOhio: not listedOHPennsylvania: not listedPANew Jersey: yesNJConnecticut: not listedCTCalifornia: yesCAUtah: not listedUTColorado: not listedCONebraska: not listedNEMissouri: not listedMOKentucky: not listedKYWest Virginia: not listedWVVirginia: not listedVAMaryland: not listedMDDelaware: not listedDEArizona: yesAZNew Mexico: not listedNMKansas: not listedKSArkansas: yesARTennessee: not listedTNNorth Carolina: yesNCSouth Carolina: not listedSCDistrict of Columbia: not listedDCOklahoma: not listedOKLouisiana: not listedLAMississippi: not listedMSAlabama: not listedALGeorgia: not listedGAHawaii: not listedHITexas: not listedTXFlorida: not listedFL

FDA distribution: “USA: (CA, NJ, AZ, AR, NY, IN, OR, NC), Australia, Austria, Belgium, Denmark, France, Germany, Hong Kong, Italy, Slovakia, Spain, Thailand, Turkey, United Kingdom, United Arab Emirates.” States read from FDA’s own wording; “not listed” means the notice does not name it.

States: Arizona, Arkansas, California, Indiana, New Jersey, New York, North Carolina, Oregon.

Recall timeline

FDA terminated this recall 2.1 years after the firm started it.

1. Firm started the recall: Mar 1, 202112. FDA classified it Class II: Mar 8, 202123. Published in FDA’s Enforcement Report: Mar 17, 202134. FDA terminated the recall: Mar 20, 2023420212023
  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-1185-2021 (March 1, 2021) — FDA publishes no per-recall page; this is the official machine-readable enforcement record. Search FDA recalls for Z-1185-2021 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