FDA Adverse Event
Malfunction
Summary report: N
MOSAIQ
MDR report key: 3888573
·
Received April 24, 2014
Report
- Report Number
- 2950347-2014-00017
- Event Type
- Malfunction
- Date Received
- April 24, 2014
- Report Date
- April 24, 2014
- Manufacturer
- IMPAC MEDICAL SYSTEMS, INC.
- Product Code
- IYE
- PMA / PMN Number
- K123230
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BE
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT ON AUTOMATIC TABLE MOVEMENT, THE TABLE HAS MOVED TO AN INCORRECT POSITION. THERE WAS NO ACTUAL MISTREATMENT REPORTED AS A RESULT OF THIS ISSUE BASED ON THE AVAILABLE INFORMATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 248229 | MOSAIQ | MOSAIQ ONCOLOGY INFORMATION SYSTEM | IYE | IMPAC MEDICAL SYSTEMS, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |