4D INTEGRATED TREATMENT CONSOLE H51-TREAT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06,07 report with the FDA on 2010-12-17 for 4D INTEGRATED TREATMENT CONSOLE H51-TREAT manufactured by Varian Medical Systems.

Event Text Entries

[1779819] Therapists reported a "save of session data and/or treatment records failed" warning on the 4ditc on (b)(6) on machine (b)(4). Director of physics located the files from the backup folder and attempted to import them into rtchart. He noted that only 2 of the 3 files imported into rtchart history. He then called the helpdesk for assistance.
Patient Sequence No: 1, Text Type: D, B5


[8847198] Though still under investigation, varian has determined that a mdr is appropriate, as this malfunction, should it recur, could potentially cause a serious injury. Additional follow-up to this mdr is expected upon completion of the investigation.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2916710-2010-00143
MDR Report Key1960769
Report Source05,06,07
Date Received2010-12-17
Date of Report2010-12-09
Date of Event2010-12-09
Date Mfgr Received2010-12-09
Device Manufacturer Date2008-01-01
Date Added to Maude2012-01-25
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 ContactMICHAEL PIGNATARO, MGR.
Manufacturer Street911 HANSEN WAY
Manufacturer CityPALO ALTO CA 94304
Manufacturer CountryUS
Manufacturer Postal94304
Manufacturer Phone6504246471
Single Use0
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name4D INTEGRATED TREATMENT CONSOLE
Generic NameLINEAR ACCELERATOR SOFTWARE
Product CodeLHN
Date Received2010-12-17
Model NumberH51-TREAT
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerVARIAN MEDICAL SYSTEMS
Manufacturer AddressPALO ALTO CA US


Patients

Patient NumberTreatmentOutcomeDate
10 2010-12-17

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