FDA Adverse Event Malfunction Summary report: N

MOSAIQ

MDR report key: 20118087 · Received September 2, 2024

Report

Report Number
3015232217-2024-00027
Event Type
Malfunction
Date Received
September 2, 2024
Date of Event
August 2, 2024
Report Date
December 12, 2024
Manufacturer
ELEKTA SOLUTIONS AB
Product Code
IYE
UDI-DI
07340201500071
PMA / PMN Number
K203172
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

H6 UPDATED. H11 UPDATED: THE INVESTIGATION WAS COMPLETED BY CONDUCTING A THOROUGH EVALUATION OF THE PRODUCT AND THE REPORTED INFORMATION. THE CUSTOMER REPORTED THAT THE TREATMENT DOSE WAS NOT RECORDED IN MOSAIQ. IT WAS ASCERTAINED FROM THE AUDIT LOGS THAT THE "TREATMENT SESSION IN PROGRESS" WINDOW OPENED AND THE DETAILS OF THE FIELD WERE SELECTED TO VIEW. A SHORT WHILE AFTER THE PLAN WAS SENT, MOSAIQ WAS RESTARTED. THIS IS THE REASON THAT THE "TREATMENT DELIVERY NOT COMPLETE" MESSAGE WAS RECEIVED WHEN COMMUNICATIONS WERE RE-ESTABLISHED AND THE PATIENT'S CHART WAS ACCESSED AGAIN. AT THIS TIME A FULL TREATMENT WAS DELIVERED AND RECORDED IN MOSAIQ. ELEKTA ARE UNABLE TO CONFIRM WHETHER ANY DOSE WAS DELIVERED DURING THE PERIOD WHEN MOSAIQ WAS RESTARTED AS NO TREATMENT RECORDS WERE RECEIVED. ELEKTA HAVE NOTIFIED THE CUSTOMER THAT IT IS RECOMMENDED THAT HITACHI VERIFY THAT NO METERSET WAS DELIVERED AT THAT TIME. MOSAIQ DID NOT HAVE ANY MALFUNCTION AND WAS WORKING AS DESIGNED AND INTENDED.

Additional Manufacturer Narrative · 0

THE MANUFACTURER'S INVESTIGATION IS ON-GOING AND FURTHER INFORMATION WILL BE PROVIDED ONCE THE INVESTIGATION HAS COMPLETED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT THE TREATMENT DOSE WAS NOT RECORDED IN MOSAIQ.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1064804 MOSAIQ ACCELERATOR, LINEAR, MEDICAL IYE ELEKTA SOLUTIONS AB 07340201500071

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown