BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MOSAIQ

    MDR report key: 3190673 · Received June 24, 2013

    Report

    Report Number
    2950347-2013-00002
    Event Type
    Malfunction
    Date Received
    June 24, 2013
    Date of Event
    June 30, 2013
    Report Date
    June 24, 2013
    Manufacturer
    IMPAC MEDICAL SYSTEMS, INC.
    Product Code
    IYE
    PMA / PMN Number
    K123230
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE PRESCRIPTION "FREQUENCY" IS NOT THE SAME AS ENTERED IN THE TWO SCENARIOS BELOW: ASSIGN PACK UP TYPE ORDER WITH FREQUENCY TO PT. ASSIGN CARE PLAN CONTAINING PICK UP TYPE ORDER SET WITH FREQUENCY TO PT. THERE WAS NO PT INVOLVED AT THE TIME OF THE EVENT. NO FURTHER INFO WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    286688 MOSAIQ ONCOLOGY INFO SYSTEM (IYE) IYE IMPAC MEDICAL SYSTEMS, INC. 2.50.05D7 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA