LEKSELL GAMMAPLAN NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00,07 report with the FDA on 2011-06-14 for LEKSELL GAMMAPLAN NA manufactured by Elekta Instrument Ab.

Event Text Entries

[2722386] In the prescription dose dialog, lgp displays a measure called "equivalent tmr classic prescription dose" (etcpd). According to the manual, the aim of providing tmr classic comparisons is "to find the dose prescription using convolution which gives approximately the same shot times and total beam-on time, given that the tmr classic dose algorithm provides the clinically proven dose prescription. " as explained in the manual, the etcpd is only a rough estimate based on a single point measurement. Also, it uses different output factors than the tmr classic algorithm in previous releases. The etcpd is also displayed when the user has selected the tmr10 algorithm. However analysis has shown that tmr10 dose prescriptions are in fact better approximations of original dose prescriptions obtained with lgk b/c/4c than the etcpd, so in this case the value of etcpd is not clear. As a consequence, there is a risk that the user may interpret the instructions in the manual too literally, and adjust the tmr10 dose description to obtain an etcpd that matches previous clinical prescriptions, which in turn could lead to a prescription dose that deviates a few percent from the intended dose.
Patient Sequence No: 1, Text Type: D, B5


[9891749] Investigation is on-going so follow-up reporting to this mdr will be provided to fda upon completion.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9612186-2011-00004
MDR Report Key2581726
Report Source00,07
Date Received2011-06-14
Date of Report2011-06-14
Date of Event2011-05-17
Date Mfgr Received2011-05-17
Date Added to Maude2012-05-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer StreetKUNGSTENSGATAN 18
Manufacturer CitySTOCKHOLM
Manufacturer CountrySW
Manufacturer Phone293654250
Single Use3
Remedial ActionRP
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameLEKSELL GAMMAPLAN
Generic NameSYSTEM, RADIATION THERAPY, RADIONUCLIDE
Product CodeIWB
Date Received2011-06-14
Catalog NumberNA
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerELEKTA INSTRUMENT AB
Manufacturer AddressKUNGSTENSGATAN 18 STOCKHOLM SW


Patients

Patient NumberTreatmentOutcomeDate
10 2011-06-14

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