inforMED
MalfunctionIXQ

CONNEXION IMAGING MODULE

Received Apr 10, 2018

Report 9710332-2018-00001 · MDR key 7410597

Device

Generic name

System, Planning, Radiation Therapy Treatment

Model number

P10105-210

Catalog number

P10105-210

Lot number

P10105-210

Product problems

  • Device Issue
  • Break
  • Device Issue

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

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

Description of Event or Problem

THE CUSTOMER REPORTED WHILST POSITIONING A PATIENT, THE MIDDLE SECTION OF THE TABE TOP BROKE.

Additional Manufacturer Narrative

THE INVESTIGATION WAS COMPLETED BY CONDUCTING A THOROUGH EVALUATION OF THE PRODUCT AND THE REPORTED INFORMATION. THE BROKEN IMAGING MODULE WAS SENT TO THE SUPPLIER FOR ROOT CAUSE ANALYSIS, HOWEVER THE BREAKAGE COULD NOT BE DETERMINED. THE RISK ASSESSMENT AND THE DYNAMIC AND STATIC OVERLOAD TESTS CONCLUDE THAT THE CURRENT DESIGN IS SAFE AND NO FAILURES IN THE MANUFACTURING PROCESS CAN BE DETECTED. THE FRACTION PATTERN HOWEVER, INDICATES A POTENTIAL EARLIER DYNAMIC OVERLOAD WHICH MIGHT HAVE PREDAMAGED THE BOARD AND MOST LIKELY OCCURRED IN THE FIELD AFTER INSTALLATION.