FDA Adverse Event
Malfunction
Summary report: N
MONACO
MDR report key: 6154072
·
Received December 8, 2016
Report
- Report Number
- 1937649-2016-00013
- Event Type
- Malfunction
- Date Received
- December 8, 2016
- Report Date
- December 7, 2016
- Manufacturer
- IMPAC MEDICAL SYSTEMS, INC.
- Product Code
- MUJ
- UDI-DI
- 00858164002169
- PMA / PMN Number
- K151233
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- PHYSICIST
Narratives
Additional Manufacturer Narrative · 1
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.
Description of Event or Problem · 1
CONTOURS ARE NOT HANDLED CORRECTLY IF THE CT DATASET CONTAINS SLICES WITH DICOM Z COORDINATES OF XX.X50MM. IF THE CT DATA CONTAIN SLICES THAT OCCUR AT POSITIONS OF XX.X50MM, THERE CAN BE PORTIONS OF THE VOLUME WHERE THERE IS A MISMATCH BETWEEN THE CONTOUR GRAPHICS SHOWN ON THE SCREEN AND THE CONTOUR DATA USED DURING THE OPTIMIZATION AND CALCULATION OF DOSE. BASED ON THE AVAILABLE INFORMATION THERE HAS BEEN NO ACTUAL MISTREATMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 804774 | MONACO | SYSTEM,PLANNING,RADIATION THERAPY TREATMENT | MUJ | IMPAC MEDICAL SYSTEMS, INC. | 00858164002169 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |