FDA Adverse Event Malfunction Summary report: N

XIO

MDR report key: 5906689 · Received August 26, 2016

Report

Report Number
1937649-2016-00006
Event Type
Malfunction
Date Received
August 26, 2016
Report Date
December 1, 2017
Manufacturer
ELEKTA INC
Product Code
MUJ
PMA / PMN Number
K102216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIST

Narratives

Additional Manufacturer Narrative · 1

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

Additional Manufacturer Narrative · 1

SECTIONS HAVE BEEN UPDATED AS IMPAC MEDICAL SYSTEMS INC HAS CHANGED ITS NAME TO ELEKTA INC AS OF THE (B)(6) 2017. THE INVESTIGATION WAS COMPLETED BY CONDUCTING A THOROUGH EVALUATION OF THE PRODUCT AND THE REPORTED INFORMATION. THE ISSUE WAS DETERMINED TO BE A DEFECT IN THE PRODUCT, HOWEVER AS LONG AS CLINICAL QA CHECKS ARE CARRIED OUT THIS ISSUE CAN BE DETECTED, REDUCING THE PROBABILITY OF THIS OCCURRING TO IMPLAUSIBLE . THIS DEFECT HAS BEEN FIXED IN THE FOLLOWING RELEASE OF XIO VERSION 5.10.03.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE USER IS ABLE TO (B)(6) EXPORT IMRT PLANS THAT HAVE ONLY BEEN OPTIMIZED AND NOT SEGMENTED. THE CUSTOMER COULD DELIVER THE PLAN. THERE WAS NO MISTREATMENT REPORTED BASED ON THE AVAILABLE INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
557689 XIO SYSTEM, PLANNING, RADIATION THERAPY TREATMENT, PRODUCT MUJ ELEKTA INC

Patients

Seq Age Sex Outcome Treatment
1