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 .
[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
Report Number | MW5020144 |
MDR Report Key | 2045800 |
Date Received | 2011-04-01 |
Date of Report | 2011-04-01 |
Date of Event | 2011-02-25 |
Date Added to Maude | 2011-04-12 |
Event Key | 0 |
Report Source Code | Voluntary report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | STAR PROTON BEAM |
Generic Name | PROTON BEAM |
Product Code | IWB |
Date Received | 2011-04-01 |
Device Availability | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other; 2. Required No Informationntervention; 3. Deathisabilit | 2011-04-01 |