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Reflexion Medical Recalls 12 RefleXion X1 Radiotherapy Systems for Software Defect (2026)

Reflexion Medical recalled 12 RefleXion X1 Radiotherapy System RXM1000 units sold to hospitals and healthcare providers in the United States after a software defect could cause a 5mm or greater misalignment and underdose. The defect occurs during angular roll corrections followed by a repeat localization, and the roll corrections from the initial localization are not carried through to treatment.

Official notice
Reflexion MedicalHealth & Personal CareMedical DevicesSoftware Version: 2.1.29-4 and Software Version: 2.1.35-1. UDI: (01)00860003983812(11)230504(21)X11001(01)00860003983812(11)230518(21)X11002(01)00860003983812(11)230505(21)X11003

Source-backed recall notice

No product image was available from the source feed.

Official source
FDA DEVICE
Recall date
February 9, 2026
Status
ACTIVE
Severity
8/10

Quick Facts at a Glance

Recall Date
February 9, 2026
Hazard Level
HIGH
Brand
Reflexion Medical
Category
Health & Personal Care
Sold At
Unknown
Geographic Scope
7 states
At-Risk Groups
GENERAL

What to Do Now

Use this page like a recall checklist: verify the product first, then act on the official remedy.

Immediate steps

  1. 1Stop using the product until you confirm whether it is included in the recall.
  2. 2Compare the product label, model number, UPC, color, size, and purchase location against the identifiers below.
  3. 3Follow the official remedy from FDA - Medical Devices; save photos, receipts, labels, and correspondence before contacting the company.
  4. 4If the product could harm a child, older adult, pet, or patient, move it out of reach immediately.

Check these identifiers

Brand
Reflexion Medical
Product type
Radiotherapy System
Model numbers
Software Version: 2.1.29-4 and Software Version: 2.1.35-1. UDI: (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 +4 more
Sold at
Unknown
Where affected
CA, TX, PA, CT, NJ, LA, OH

Recall Timeline

Key dates and source checks for this recall record.

  1. Recall announced

    February 9, 2026

  2. Reported by FDA DEVICE

    April 8, 2026

  3. RecallRadar source check

    April 15, 2026

  4. Consumer action

    Use the official remedy and keep documentation.

Hazard Information

Due to a radiotherapy medical system software defect, when performing angular roll corrections followed by a repeat localization, the roll corrections applied in the initial localization scan are not carried through to treatment delivery leading to the treatment plan dose being delivered to the incorrect location, potentially a displacement of 5mm or higher, with a 10% to 20% underdose.

What You Should Do

Patients and healthcare providers should stop using this device immediately. Follow the recall instructions provided by the manufacturer. Contact Reflexion Medical, Inc. or your healthcare provider for instructions

About This Product

The RefleXion X1 Radiotherapy System is a high-precision device used in cancer treatment to deliver targeted radiation therapy. It is deployed in hospitals and cancer centers under physician supervision.

Why This Is Dangerous

A software defect during correction steps can cause roll corrections from the initial localization to not carry through to treatment delivery. This can shift the radiation dose away from the intended target by about 5 mm or more and reduce the delivered dose by 10% to 20%.

Industry Context

This recall is not described as part of a broader industry pattern in the provided data.

Real-World Impact

The recall creates a potential safety risk for patients undergoing radiotherapy and imposes operational considerations for hospitals, without any reported injuries to date.

Practical Guidance

How to identify if yours is affected

  1. Confirm device is RefleXion X1 RXM1000 with Part number 800-00006-00.
  2. Check software version for 2.1.29-4 or 2.1.35-1.
  3. Review listed UDIs associated with the device.
  4. Verify distribution location matches the states listed in the recall data.
  5. If affected, contact Reflexion Medical and halt use as directed.

What timeline to expect

Remediation timelines vary by hospital and vendor processes. No consumer refund timeline is provided for this medical device recall.

If the manufacturer is unresponsive

  • Escalate to hospital risk management
  • Contact Reflexion Medical for official guidance
  • Report concerns to the FDA if the manufacturer is unresponsive

How to prevent similar issues

  • Require vendor-provided software validation before clinical deployment
  • Maintain updated device documentation and recall communications
  • Standardize risk assessments for all radiotherapy devices

Documentation advice

Keep a copy of the recall notice, device serial numbers, software versions, UDIs, and all correspondence with the manufacturer and hospital leadership.

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Product Details

Model: RefleXion X1 Radiotherapy System RXM1000; Part #: 800-00006-00. Sold to hospitals and healthcare providers in the United States. Quantity: 12 units. No price information available.

Reported Incidents

No injuries or incidents have been reported.

Key Facts

  • Model RXM1000, Part 800-00006-00
  • Software Versions: 2.1.29-4 and 2.1.35-1
  • UDI examples: 01 00860003983812 11 230504 21 X11001 and subsequent UDIs
  • US distribution: CA, TX, PA, CT, NJ, OR, LA, OH
  • Recall date: 2026-02-09; Report date: 2026-04-08

Safety Guide

Not sure what to do next? Our guide walks you through the process step by step.

Read: What to Do When You Find a Recalled Product

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Safety Assessment

Risk LevelHIGH
Severity Score
8/ 10
Affected Groups
GENERAL
Injury Types
POISONING

Product Details

Model Numbers
Software Version: 2.1.29-4 and Software Version: 2.1.35-1. UDI: (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
+7 more
Affected States
CA, TX, PA, CT, NJ, LA, OH
Report Date
April 8, 2026
Recall Status
ACTIVE

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