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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DAVE KENNEDY - SENIOR QA MANAGER MOSAIQ; ACCELERATOR, LINEAR, MEDICAL

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DAVE KENNEDY - SENIOR QA MANAGER MOSAIQ; ACCELERATOR, LINEAR, MEDICAL Back to Search Results
Device Problems Computer Software Problem (1112); Loss of Data (2903)
Patient Problems No Consequences Or Impact To Patient (2199); No Known Impact Or Consequence To Patient (2692)
Event Type  No Answer Provided  
Manufacturer Narrative
The manufacturer's investigation is on-going and further information will be provided once the investigation has completed.
 
Event Description
The customer reported that a chemo cycle disappeared from mosaiq and re-appeared after discontinuing the care plan.Based on the available information there has been no actual mistreatment.
 
Manufacturer Narrative
The investigation was completed by conducting a thorough evaluation of the product and the reported information.The results demonstrate that the issue reported is a one-off data instance, and found no other evidence of other instances.No further action can be carried out.
 
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Brand Name
MOSAIQ
Type of Device
ACCELERATOR, LINEAR, MEDICAL
Manufacturer (Section D)
DAVE KENNEDY - SENIOR QA MANAGER
impac medical systems, inc.
100 mathilda place, 5th floor
sunnyvale CA 94086
Manufacturer (Section G)
IMPAC MEDICAL SYSTEMS, INC.
13723 riverport drive
suite 100
maryland heights MO 63043
Manufacturer Contact
pms
linac house
fleming way
crawley, RH10 -9RR
UK   RH10 9RR
MDR Report Key5976331
MDR Text Key55569188
Report Number2950347-2016-00046
Device Sequence Number1
Product Code IYE
Combination Product (y/n)N
Reporter Country CodeNZ
PMA/PMN Number
K141572
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional,o
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 03/24/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received09/26/2016
Is this an Adverse Event Report? No
Is this a Product Problem Report? No
Device Operator Health Professional
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Date Manufacturer Received07/20/2016
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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