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Use caution Medical device recall · FDA · Published May 16, 2018

Proteus 235 Proton Beam Device Recall: Correction Vector Errors Risk Incorrect Patient

Ion Beam Applications S.A. recalls Proteus 235 proton beam devices with specific versions and serial numbers due to risk of incorrect patient positioning during radiation treatment. Affected units may require correction to prevent treatment errors.

🇺🇸 FDA recall #Z-2424-2018Medical deviceIon Beam Applications S.A. ›
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Recalling firmIon Beam Applications S.A.Chemin du Cyclotron, 3 · Louvain La Neuve, Belgium
✎ GovInfoNow plain-language explainer

Ion Beam Applications S.A. recalls specific versions of their Proteus 235 proton beam treatment devices. The recall is due to a risk that correction vectors may be lost if the access point changes after sending the correction, potentially leading to incorrect patient positioning during radiation treatment. Read more at govinfonow.com/recall/71060-proteus-235-proton-beam-device-recall-correction-vector-errors-risk.

Source Summary by GovInfoNow · govinfonow.com/recall/71060-proteus-235-proton-beam-device-recall-correction-vector-errors-risk · Updated August 21, 2026 · FDA enforcement record: FDA #Z-2424-2018

Cite this page

“Proteus 235 Proton Beam Device Recall: Correction Vector Errors Risk Incorrect Patient.” GovInfoNow, updated August 21, 2026. https://govinfonow.com/recall/71060-proteus-235-proton-beam-device-recall-correction-vector-errors-risk. Based on FDA recall #Z-2424-2018 (https://api.fda.gov/device/enforcement.json?search=recall_number:%22Z-2424-2018%22&limit=1).

The FDA announced on May 16, 2018, that Ion Beam Applications S.A. recalled three Proteus 235 proton therapy devices due to a hazard where correction vector confirmation messages could be lost. This defect risks treating patients in the wrong position.

How to tell if you have it

  • Ion Beam Applications S.A. Proteus 235
  • Version PTS-11.0.1.2 and PTS-11.0.2
  • Serial Numbers: SAT.122 (EU), SAT.132 (EU), SAT.133 (US)

The hazard

The recall record states that the correction vector confirmation message is lost if the access point is changed after sending the correction vector. As a result, the patient will be treated in the setup position or treatment position instead of the corrected position.

Context

GovInfoNow's records show Ion Beam Applications S.A. has 21 other recalls on record since October 17, 2017. Other recent recalls of similar products include Hitachi Proton Beam Therapy System Recall: Positioning Software Anomaly Risk (February 6, 2026) and Elekta Leksell GammaPlan 11.1 Software Recall: Risk of Incorrect Patient Irradiation (December 12, 2025).

How to tell if you have this one

Check for the Proteus 235 device with version numbers PTS-11.0.1.2 or PTS-11.0.2. Affected units have serial numbers SAT.122 (EU), SAT.132 (EU), or SAT.133 (US).

  • Brand
    Ion Beam Applications S.A.
  • Category
    Medical device
Based on the official FDA remedy

What to do — step by step

  1. Check Device Version

    Verify the device version number on the Proteus 235 to see if it matches PTS-11.0.1.2 or PTS-11.0.2.

  2. Review Serial Number

    Check the serial number on the device; affected units have SAT.122 (EU), SAT.132 (EU), or SAT.133 (US).

Where it went and when

Where it was distributed

Distributed nationwide, and outside the U.S.

Alaska: yesAKMaine: yesMEVermont: yesVTNew Hampshire: yesNHWashington: yesWAIdaho: yesIDMontana: yesMTNorth Dakota: yesNDMinnesota: yesMNIllinois: yesILWisconsin: yesWIMichigan: yesMINew York: yesNYRhode Island: yesRIMassachusetts: yesMAOregon: yesORNevada: yesNVWyoming: yesWYSouth Dakota: yesSDIowa: yesIAIndiana: yesINOhio: yesOHPennsylvania: yesPANew Jersey: yesNJConnecticut: yesCTCalifornia: yesCAUtah: yesUTColorado: yesCONebraska: yesNEMissouri: yesMOKentucky: yesKYWest Virginia: yesWVVirginia: yesVAMaryland: yesMDDelaware: yesDEArizona: yesAZNew Mexico: yesNMKansas: yesKSArkansas: yesARTennessee: yesTNNorth Carolina: yesNCSouth Carolina: yesSCDistrict of Columbia: yesDCOklahoma: yesOKLouisiana: yesLAMississippi: yesMSAlabama: yesALGeorgia: yesGAHawaii: yesHITexas: yesTXFlorida: yesFL

FDA distribution: “Worldwide Distribution - US Nationwide in the states of FL and the countries of Sweden, The Netherlands” States read from FDA’s own wording; “not listed” means the notice does not name it.

Distributed nationwide, and outside the U.S.

Recall timeline

FDA terminated this recall 5 months after the firm started it.

1. Firm started the recall: May 16, 201812. FDA classified it Class II: Jul 11, 201823. Published in FDA’s Enforcement Report: Jul 18, 201834. FDA terminated the recall: Oct 16, 201842018
  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-2424-2018 (May 16, 2018) — FDA publishes no per-recall page; this is the official machine-readable enforcement record. Search FDA recalls for Z-2424-2018 to see it in context.
  • Plain-language summary written by qwen3:4b on August 21, 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