THERASPHERE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-01-23 for THERASPHERE manufactured by Mds Nordion.

Event Text Entries

[4069946] Subject underwent administration of yttrium y90 for hepatocellular carcinoma on (b)(6) 2013. Subject was admitted after y90 administration for c/o abdominal pain (10 out of 10 on pain scale). Subject was evaluated by ct scan. Findings indicate: no definite findings to explain abdominal pain. Subject was discharged home on (b)(6) 2013.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5034042
MDR Report Key3599465
Date Received2014-01-23
Date of Report2014-01-21
Date of Event2013-08-20
Date Added to Maude2014-01-31
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
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
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameTHERASPHERE
Generic NameYTTRIUM Y90 BEADS
Product CodeIWA
Date Received2014-01-23
OperatorHEALTH PROFESSIONAL
Device Sequence No1
Device Event Key0
ManufacturerMDS NORDION
Manufacturer AddressOTTAWA ONTARIO K2K1XB CA K2K 1XB


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2014-01-23

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