STAR PROTON BEAM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-04-01 for STAR PROTON BEAM manufactured by .

Event Text Entries

[1881363] Proton beam was not focused on tumor but inadvertently radiation was administered to normal brain tissue.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5020144
MDR Report Key2045800
Date Received2011-04-01
Date of Report2011-04-01
Date of Event2011-02-25
Date Added to Maude2011-04-12
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSTAR PROTON BEAM
Generic NamePROTON BEAM
Product CodeIWB
Date Received2011-04-01
Device AvailabilityY
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention; 3. Deathisabilit 2011-04-01

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