MOSAIQ versions 2.41 and higher (Oncology information system used to manage workflows for treatment planning and delivery)Sites affected will be those meeting ALL three criteria below:1) Running MOSAIQ Release 2.41 and higher 2) With at least one linac equipped with an Agility 160 multi-leaf collimator (MLC) head (Versa HD, Infinity, Axesse (EOS) or Synergy) 3) Who are treating with Stereotactic Cones 의 리콜

Department of Health, Therapeutic Goods Administration에 따르면, 해당 리콜 는 Australia 에서 Elekta Pty Ltd 에 의해 제조된 제품과 관련되어 있습니다.

이것은 무엇인가요?

의료기기에 문제가 생겼을 경우 제조사가 이를 바로잡거나 시장에서 회수하는 조치를 말한다. 회수(Recall)는 의료기기에 결함이 있거나, 건강에 위협이 되거나, 또는 결함도 있고 건강에도 위협이 될 경우에 발생한다.

데이터에 대해 더 자세히 알아보기 여기
  • 사례 유형
    Recall
  • 사례 ID
    RC-2015-RN-00608-1
  • 사례 위험등급
    Class I
  • 사례 시작날짜
    2015-07-07
  • 사례 국가
  • 사례 출처
    DHTGA
  • 사례 출처 URL
  • 비고 / 경고
    Australian data is current through July 2018. All of the data comes from the Australian Therapeutic Goods Administration, except for the categories Manufacturer Parent Company and Product Classification.
    The Parent Company and the Product Classification were added by ICIJ.
    The parent company information is based on 2017 public records. The device classification information comes from FDA’s Product Classification by Review Panel, based on matches of recall data from the U.S. and Australia.
  • 데이터 추가 비고
  • 원인
    A problem exists in mosaiq resulting in the incorrect field size being sent to the treatment machine for stereotactic plans. when a stereotactic field is imported or promoted, and the treatment field definition is opened:- the mlc shape will be correct for the planned cone field size, and- the user will also see the field size displayed with x=40 and y=the jaw setting for the planned cone. if simple mlc is selected, without changing the jaw size, the mlc shape will move the virtual x jaw to its most retracted position of 40. when the user clicks “ok” to accept the field change, they are presented with the field delta window and they must click “accept” for the change to take effect. if the mlcs are not edited to return to the correct shape for the planned cone, the user can unintentionally save the virtual jaw settings as the mlc shape resulting in a treatment field much larger than intended. the problem occurs because simple mlc is resetting the mlc positions.
  • 조치
    The problem can be avoided by clicking Cancel on the Create Simple MLC window, editing the field size values in the Create Simple MLC window to return to the correct MLC shape for the planned cone before saving or by not using the Simple MLC view. This problem will be resolved in a future release of the current MOSAIQ versions 2.41, 2.50, 2.60, 2.62. Elekta will inform the affected customers when the relevant MOSAIQ build is released containing the fix. This action has been closed-out on 8/08/2016,

Device

  • 모델명 / 제조번호(시리얼번호)
    MOSAIQ versions 2.41 and higher (Oncology information system used to manage workflows for treatment planning and delivery)Sites affected will be those meeting ALL three criteria below:1) Running MOSAIQ Release 2.41 and higher2) With at least one linac equipped with an Agility 160 multi-leaf collimator (MLC) head (Versa HD, Infinity, Axesse (EOS) or Synergy)3) Who are treating with Stereotactic Cones ARTG: 206321
  • 의료기기 분류등급
  • Manufacturer

Manufacturer