Recall of RefleXion X1 Radiotherapy System Due to Software Defect
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Reflexion Medical, Inc. is recalling 12 units of the RefleXion X1 Radiotherapy System because of a software defect that could lead to incorrect treatment delivery.
What this FDA recall tells you, and what most readers miss
This notice was issued by FDA on April 15, 2026 and geographically references United States (CA, TX, PA, CT, NJ, OR, LA, OH). Its severity classification of "high" signals how the issuing agency weighs the risk of harm if no action is taken - "critical" and "high" tier alerts typically carry direct consumer actions, while "medium" and "low" tend toward informational guidance or monitoring advisories. The category it belongs to - FDA Recalls - determines the consumer-protection framework behind it, which shapes what remedies (refunds, replacements, repairs, or the recall itself) are available to affected consumers and which agency holds statutory responsibility for enforcement.
Most readers skim a notice like this, check whether they are personally affected, and move on. The more useful lens is to read it as a data point about the issuing system: how quickly FDA detected the hazard, how precise the geographic or product-identifier scope is, and whether similar notices have clustered in the same category or region in the last 90 days. Cluster patterns frequently precede a broader regulatory action, a single localized FDA recall is isolated; three of them within a quarter often indicate a supply-chain, infrastructure, or seasonal driver that will keep producing notices until something structural changes.
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What Happened
Reflexion Medical, Inc. is recalling the RefleXion X1 Radiotherapy System due to a software defect. This defect occurs when performing angular roll corrections followed by a repeat localization, potentially resulting in the treatment plan dose being delivered to the incorrect location, with a displacement of 5mm or higher and a 10% to 20% underdose.
Which Products Are Affected
The affected product is the RefleXion X1 Radiotherapy System Model RXM1000, Part #800-00006-00. A total of 12 units are involved, with software versions 2.1.29-4 and 2.1.35-1. The UDI codes include: (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, (01)00860003983812(11)240820(21)X11010, (01)00860003983812(11)241107(21)X11011, (01)00860003983812(11)241206(21)X11012, and (01)00860003983812(11)250731(21)X11013. The products were distributed to the following states in the United States: CA, TX, PA, CT, NJ, OR, LA, and OH. The official recall number is Z-1656-2026.
What You Should Do
Consumers and healthcare facilities with affected units should contact Reflexion Medical, Inc. for instructions on the recall, as it is a voluntary firm-initiated action.
Why This Matters
This recall involves medical devices used in radiotherapy, which could lead to inaccurate cancer treatment and potential health risks if the dose is misplaced. Ensuring proper function is critical for patient safety in healthcare settings.
Source
This information is from the FDA recall database, recall number Z-1656-2026. For more details, visit the FDA website at https://www.fda.gov/ (attribution: FDA).
Original source: FDA Official Notice ↗
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