ACCUBOOST

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-10-13 for ACCUBOOST manufactured by Unk.

Event Text Entries

[28804943] Hospital admission (b)(6) 2015 discharged (b)(6) 2015. A (b)(6) female, noted to have numbness and generalized weakness in her right arm. Symptoms resolved within 10-15 minutes. Admitted to ed to be evaluated. Bp at this time 188/106. Pt recalls slurring of speech on the way to the hospital. Pt alert and oriented with normal motor function, no local deficits at time of admission. Consult completed by neurology. His impression symptom related to hypertension, but cannot exclude possibility of tia, so we will treat as tia. Grading of symptoms: hypertension - grade 2 unrelated to accuboost, tia - grade 3 unrelated to accuboost. Pt was treated with accuboost apbi on (b)(6) 2013 through (b)(6) 2013. Total dose 34 gy, 10 fractions.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5057163
MDR Report Key5161589
Date Received2015-10-13
Date of Report2015-10-13
Date of Event2015-08-31
Date Added to Maude2015-10-20
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 FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameACCUBOOST
Generic NameBREAST BRACHY THERAPY
Product CodeJAQ
Date Received2015-10-13
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerUNK


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2015-10-13

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