MAUDE MDR 452317

MDR report key
452317
Report number
75369-2003-00001
Event key
0
Event type
3
Date of event
2003-03-17
Date received
2003-03-26
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
MARTINE SCHNEIDER
Address
2555 MARCONI DRIVE SUITE 220 ALPHARETTA GA 30005 US
Phone
770-770-7707
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1GLIASITE RADIATION THERAPY SYSTEMBALLOON CATHETER, RADIONUCLIDE APPLICATOR MANUALPROXIMA THERAPEUTICS, INC.KXKNA102075297YRN

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12003-03-2601. H; 2. R

Event Narratives#

D

Patient 1

IN 2003, PT COMPLAINED OF NEUROLOGICAL DECLINE. PT WAS PLACED ON STEROIDS AND IMPROVED GREATLY WITHIN 24 HOURS. CRANIOTOMY PERFORMED THE FOLLOWING MONTH. INITIAL FINDINGS WERE RADIATION NECROSIS WITH NO TUMOR OBSERVED.