The Recall Desk
HighFDA (Devices)·Z-1208-2025·Announced 2025-03-05

Medical Imaging Software Bug Affects Diagnostic Calculations on Daylight Saving Time Dates

A software bug in IntelePACS causes incorrect diagnostic value calculations on Daylight Saving Time transition dates, risking incorrect patient diagnoses.

What this means for you

Real risk of harm even if no illness or injury has been reported yet. Stop using the product and follow the agency's guidance.

Our severity reasoning: This is an FDA Class II recall with no reported illnesses or injuries. The hazard presents a theoretical risk of diagnostic harm through incorrect calculations, matching the criterion for High severity: risk-of-harm products where injury has not yet been reported.

Plain-English summary

IntelePACS Image Fusion Module—InteleViewer is a software application that receives digital images and data from various sources. A bug in versions 5-6-1-P23 and later causes the software to calculate Standard Uptake Values (SUV) incorrectly for PET/CT imaging studies performed on Daylight Saving Time transition dates. On all other dates, the software functions correctly. An incorrect SUV calculation may result in an incorrect diagnosis.

Eighty-eight systems are distributed across the United States and internationally in Canada, Australia, and New Zealand.

Healthcare providers using affected IntelePACS systems should contact the manufacturer (INTELERAD MEDICAL SYSTEMS INCORPORATED) for updated software versions. Any diagnostic decisions based on SUV measurements from images processed on Daylight Saving Time transition dates should be reviewed.

The recalled product

Product
IntelePACS (Image Fusion Module) - InteleViewer
Manufacturer
INTELERAD MEDICAL SYSTEMS INCORPORATED
Hazard
  • calculation-error
  • diagnostic-risk

Is your product affected?

Check your packaging against the codes below. If any of them match, the product is part of this recall.

Lot numbers (2)

  • UDI-DI: B228INTELEPACS0
  • Device Versions: 5-6-1-P23 and later

Distribution

Distributed nationwide across the United States.