ONCENTRA SIMULATION 127.001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,06 report with the FDA on 2011-10-05 for ONCENTRA SIMULATION 127.001 manufactured by Nucletron Bv.

Event Text Entries

[2283715] User detected that the display was rotated. Image frames of cbct series might be missing, causing the display to be rotated. Under normal conditions, when the rotation is clinically significant the rotation will be noticed.
Patient Sequence No: 1, Text Type: D, B5


[9307927] In some situations the images of cbct series may be displayed with a rotation. In most situations this can be noticed very clearly, e. G. When the tabletop is included in the images. In other situations the user will be able to see this rotation as the pt will appear to have rotated especially when radiopaque pt markers or laser positioning have been used. The install date for this software is (b)(4) 2011.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9611894-2011-00003
MDR Report Key2280384
Report Source01,05,06
Date Received2011-10-05
Date of Report2011-10-04
Date of Event2011-09-07
Date Mfgr Received2011-09-07
Date Added to Maude2012-06-29
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMICHAEL PAUL
Manufacturer Street7021 COLUMBIA GATEWAY DR STE 200
Manufacturer CityCOLUMBIA MD 21046
Manufacturer CountryUS
Manufacturer Postal21046
Manufacturer Phone4435452182
Manufacturer G1NUCLETRON BV
Manufacturer StreetWAARDGELDER 1
Manufacturer CityVEENENDAAL 3905TH
Manufacturer CountryNL
Manufacturer Postal Code3905 TH
Single Use3
Remedial ActionNO
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameONCENTRA SIMULATION
Generic NameONCENTRA SIMULATION
Product CodeKPQ
Date Received2011-10-05
Model Number127.001
Catalog Number127.001
Lot NumberNA
ID NumberSOFTWARE V2.4
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerNUCLETRON BV
Manufacturer AddressVEENENDAAL NL


Patients

Patient NumberTreatmentOutcomeDate
10 2011-10-05

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