MAUDE MDR 465393

MDR report key
465393
Report number
1062385-2003-00009
Event key
0
Event type
3
Date of event
2003-05-19
Date received
2003-06-06
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
ADAM LOWE, VP
Address
3890 STEVE REYNOLDS BLVD NORCROSS GA 30093 US
Phone
770-770-7707
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
13.5F BETA-RAIL DELIVERY CATHETERCATHETERNOVOSTE CORP.MOUP00563ABR-0340614298P0000NYY

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12003-06-0601. O

Event Narratives#

D

Patient 1

THE RADIOACTIVE SOURCES WERE LEFT IN THE PT AT THE TREATMENT SITE FOR A 30 SECOND DELAY AFTER THE INTENDED TREATMENT TIME. PT IS IN STABLE CONDITION. THE SITE INDICATED THAT THEY WERE REPORTING THE RADIATION EVENT TO THE STATE.