FDA Adverse Event
Malfunction
Summary report: N
MOSAIQ
MDR report key: 6979012
·
Received October 26, 2017
Report
- Report Number
- 2950347-2017-00021
- Event Type
- Malfunction
- Date Received
- October 26, 2017
- Report Date
- February 19, 2018
- Manufacturer
- ELEKTA INC.
- Product Code
- IYE
- UDI-DI
- 00858164002091
- PMA / PMN Number
- K141572
- Report Source
- Manufacturer report
- Reporter Location
- TU
- Reporter Occupation
- OTHER
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
UPDATED INITIAL REPORTER DETAILS. THE INVESTIGATION WAS COMPLETED BY CONDUCTING A THOROUGH EVALUATION OF THE PRODUCT AND THE REPORTED INFORMATION. THE ISSUE THAT THE USER WAS EXPERIENCING WITH THE DEVICE WAS INCORRECT SHIFTS. THIS ISSUE HAS BEEN ATTRIBUTED TO THE USE OF 40X20CM MV IMAGES RESULTING IN THE AUTO-ISOCENTRE NOT FUNCTIONING AS INTENDED. ABNORMAL USE. AN ELEKTA TRAINING SPECIALIST ATTENDED THE SITE ON 21 DECEMBER 2017 AND OFFERED ADVICE ON HOW TO OPTIMISE THE WORKFLOW ON ELEKTA EQUIPMENT TO PREVENT THIS.
Description of Event or Problem · 1
THE CUSTOMER HAS REPORTED INCORRECT DIRECTION SHIFTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 760233 | MOSAIQ | ACCELERATOR, LINEAR, MEDICAL | IYE | ELEKTA INC. | 00858164002091 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |