Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0686-2019Class II

MOSAIQ Oncology Information System Version 2.64. MOSAIQ is an oncology information system used to manage...

Elekta Limited / initiated 2018-12-04 / Terminated / root cause: software

Elekta, Inc. began a recall of MOSAIQ Oncology Information System Version 2.64. MOSAIQ is an oncology information system used to manage workflows for treatment planning and delivery on . FDA classified it as Class II and gives the reason as "If a Setup field (CT, kV, MV or MVCT) is created by COPYING a treatment field or another setup field, then the copied field will have the same isocenter as the parent and that isocenter may not be the correct isocenter...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-0686-2019
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Elekta Limited
Product
MOSAIQ Oncology Information System Version 2.64. MOSAIQ is an oncology information system used to manage workflows for treatment planning and delivery
Product code
IYE Accelerator, Linear, Medical
Reason for recall
If a Setup field (CT, kV, MV or MVCT) is created by COPYING a treatment field or another setup field, then the copied field will have the same isocenter as the parent and that isocenter may not be the correct isocenter for imaging when it is sent to the machine.
Root cause tag
software
FDA root cause
Software design
Action
Elekta notified customers on about 12/04/2018 via letter titled, "Urgent Important Field Safety Notification." The letter contains recommended user action and that appropriate personnel working with the device should be advised on the content of the letter and the letter should be placed in an area accessible to all users. The letter stated that the issue will be resolved in Service Packs to MOSAIQ Releases 2.64, 2.65 and 2.70. Customers will be informed when the fix is available through a Product Bulletin. An acknowledgement Form was sent as part of the letter to be completed and returned no later than 30 days. The firm can be contacted at 408-830-8000 or 855-693-5358.
Quantity in commerce
551 units
Distribution
Distributed in the United States and outside of the Unites States: Algeria; Antigua and Barbuda; Argentina; Australia; Belgium; Botswana; Brazil; Canada; China; Colombia; Denmark; France; Germany; India; Indonesia; Iran; Ireland; Israel; Italy; Japan; Latvia; Lebanon; Malaysia; Mexico; Morocco; Myanmar; Netherlands; New Zealand; Norway; Peru; Philippines; Poland; Portugal; Russian Federation; Rwanda; Saudi Arabia; Senegal; Singapore; Slovenia; South Africa; Spain; Sweden; Switzerland; Taiwan; Thailand; Turkey; United Kingdom; Viet Nam
Product codes and lots
Software Build(s): 2.64 SP9 and higher;   UDI (01)00858164002091(10)2.64.235

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0686-2019
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0686-2019Class IITerminatedVoluntary: Firm initiated