FDA Adverse Event
Malfunction
Summary report: N
MOSAIQ
MDR report key: 11975199
·
Received June 10, 2021
Report
- Report Number
- 2950347-2021-00008
- Event Type
- Malfunction
- Date Received
- June 10, 2021
- Date of Event
- May 11, 2021
- Report Date
- September 27, 2021
- Manufacturer
- ELEKTA INC
- Product Code
- IYE
- UDI-DI
- 00858164002282
- PMA / PMN Number
- K183034
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 0
THE INVESTIGATION WAS COMPLETED BY CONDUCTING A THOROUGH EVALUATION OF THE PRODUCT AND THE REPORTED INFORMATION. THE CUSTOMER REPORTED A RECORDING DISCREPANCY IN MOSAIQ. IT WAS ASCERTAINED FROM THE SOFTWARE LOGS THAT MOSAIQ CORRECTLY RECORDED THE MU VALUES SENT FROM THE LINAC, AND THE TOTAL DAILY DOSE OF ALL THE TREATMENT FIELDS ADDS UP TO THE EXPECTED TOTAL DAILY DOSE OF 1800 CGY. MOSAIQ IS WORKING AS DESIGNED AND INTENDED AND BASED ON THE AVAILABLE INFORMATION THERE HAS BEEN NO MISTREATMENT.
Additional Manufacturer Narrative · 1
THE MANUFACTURER'S INVESTIGATION IS ON-GOING AND FURTHER INFORMATION WILL BE PROVIDED ONCE THE INVESTIGATION HAS COMPLETED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED A RECORDING DISCREPANCY IN MOSAIQ.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 869831 | MOSAIQ | ACCELERATOR, LINEAR, MEDICAL | IYE | ELEKTA INC | MOSAIQ | 00858164002282 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |