FDA Adverse Event
Malfunction
Summary report: N
PLATO RTS V2.3
MDR report key: 286730
·
Received July 13, 2000
Report
- Report Number
- 1121753-2000-00001
- Event Type
- Malfunction
- Date Received
- July 13, 2000
- Date of Event
- May 23, 2000
- Report Date
- July 6, 2000
- Manufacturer
- NUCLETRON BV
- Product Code
- MUJ
- Removal / Correction Number
- NA
- Report Source
- Manufacturer report
- Reporter Location
- NL
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
IN CERTAIN SITUATIONS WHEN ENTERING A BLOCK, THE PROGRAM INTERPRETS THE WHOLE FIELD AS BEING BLOCKED, AND A HIGH NUMBER OF MONITOR UNITS ARE CALCULATED. THE PROBLEM MAY OCCUR WHEN THE BLOCK CONTOUR CONTAINS A LARGE NUMBER OF POINTS AND/OR SOME OF THE POINTS ARE VERY CLOSE TOGETHER. IF THE PROBLEM OCCURS, A WARNING MESSAGE "HIGH ABSOLUTE M.U./MIN. AND/OR HIGH VALUES DETECTED" WILL BE DISPLAYED, AND CALCULATED MONITOR UNITS WILL BE EXCEPTIONALLY HIGH. IF THE WARNING IS IGNORED, UNPLANNED HIGH DOSES COULD BE DELIVERED DURING TREATMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PLATO RTS V2.3 | RADIOTHERAPY TREATMENT PLANNING SYSTEM | MUJ | NUCLETRON BV | RTS V2.3 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Other |