ZEPHYR SUPERFICIAL RADIATION THERAPY TREATMENT UNIT 558

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-03-03 for ZEPHYR SUPERFICIAL RADIATION THERAPY TREATMENT UNIT 558 manufactured by Picker Int'l, Inc..

Event Text Entries

[18599848] Picker intl, inc. 595 miner rd, highland heights, oh 44143. Picker intl inc hs been rquested to provide info concerning an incident involving a radiation therapy unit. 1. The model number is 558. 2. The serial number is 611, 3. The unit is over forty years old. The reported failure of the cable and resistor can be attributed to age and use. 4. No testing of the device was performed. No failure analysis was performed beyond determining that the failure of the cable and resistor can be attributed to age. 5. The rptr, a medical physicist from the reporting facility, stated that the unit was operating at half the specified voltage. He did not indicate if the current meters indicated lower than normal current or if one of the current meters indicated an abnormal reading. Picker did not repair this unit. 6. No evaluation was made to determine if the event was attibutable to the device. 7. There is no statement in the labeling concerning this event. There are no other incidents reported in the last twenty years concerning this event. In a forty year old device, some failures will occur due to age. 8. No remedial action is planned because this is the only reported case in twenty years. 9. There is no current labeling for the device as this device has not been sold for twenty-five years. Attached is a copy of the latest manual and literature.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1000950
MDR Report Key11831
Date Received1994-03-03
Date of Report1994-03-01
Date Added to Maude1994-03-04
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPHYSICIST
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameZEPHYR SUPERFICIAL RADIATION THERAPY TREATMENT UNIT
Product CodeIWD
Date Received1994-03-03
Model Number558
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key11831
ManufacturerPICKER INT'L, INC.
Manufacturer AddressHIGHLAND HEIGHTS OH 44143 US


Patients

Patient NumberTreatmentOutcomeDate
10 1994-03-03

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