FDA Adverse Event Malfunction Summary report: N

MOSAIQ

MDR report key: 7132916 · Received December 20, 2017

Report

Report Number
2950347-2017-00033
Event Type
Malfunction
Date Received
December 20, 2017
Report Date
March 16, 2018
Manufacturer
ELEKTA INC
Product Code
IYE
UDI-DI
00858164002091
PMA / PMN Number
K141572
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
RADIOLOGIC TECHNOLOGIST

Narratives

Additional Manufacturer Narrative · 1

THE INVESTIGATION WAS COMPLETED BY CONDUCTING A THOROUGH EVALUATION OF THE PRODUCT AND THE REPORTED INFORMATION. MOSAIQ IS WORKING AS DESIGNED AND INTENDED. THE CUSTOMER HAS ALREADY MADE THE NECESSARY WORKFLOW ADJUSTMENTS BASED ON THE SOFTWARE FUNCTIONALITY. BASED ON THE AVAILABLE INFORMATION, THERE WAS NO MISTREATMENT IN THIS CASE.

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT A PATIENT WAS SET UP ON THE CT IN 2 DIFFERENT POSITIONS: HEAD FIRST SUPINE TO TREAT SHOULDER; FEET FIRST SUPINE TO TREAT FEMUR. PATIENT DETAILS WERE SENT FROM PROSOMA (A THIRD PARTY TREATMENT PLANNING SYSTEM) TO MOSAIQ AND PATIENT POSITION WAS DISPLAYED CORRECTLY ON PROSOMA DOCUMENTATION. THE CUSTOMER EXPERIENCED PATIENT ORIENTATION BEING INCORRECTLY DISPLAYED IN SITE SET UP AND SITE SET UP BEING CORRECT BUT EDITABLE WHEN IT SHOULD BE LOCKED. BASED ON THE AVAILABLE INFORMATION, THERE HAVE BEEN NO ACTUAL MISTREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
915119 MOSAIQ ACCELERATOR, LINEAR, MEDICAL IYE ELEKTA INC 00858164002091

Patients

Seq Age Sex Outcome Treatment
1