Brand Name | MOSAIQ |
Type of Device | ACCELERATOR, LINEAR, MEDICAL |
Manufacturer (Section D) |
ELEKTA INC |
100 mathilda place |
5th floor |
sunnyvale CA 94086 |
|
Manufacturer (Section G) |
ELEKTA INC |
400 perimeter center terrace |
suite 50 |
atlanta GA 30346 |
|
Manufacturer Contact |
pms
|
cornerstone |
london road |
crawley, west sussex RH10 -9BL
|
UK
RH10 9BL
|
|
MDR Report Key | 12877216 |
MDR Text Key | 281278740 |
Report Number | 2950347-2021-00021 |
Device Sequence Number | 1 |
Product Code |
IYE
|
UDI-Device Identifier | 00858164002091 |
UDI-Public | 00858164002091 |
Combination Product (y/n) | N |
Reporter Country Code | IT |
PMA/PMN Number | K141572 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Other,Foreign,Health Professional,User Facility |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial,Followup |
Report Date |
02/08/2022 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device Model Number | MOSAIQ |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
10/29/2021 |
Initial Date FDA Received | 11/26/2021 |
Supplement Dates Manufacturer Received | 10/29/2021
|
Supplement Dates FDA Received | 02/08/2022
|
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 Number | 1 |
|
|