ELEKTA 1049544

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-03-18 for ELEKTA 1049544 manufactured by Elekta.

Event Text Entries

[40938195] Frame adapter used in gamma knife delivery was discovered to not be in the correct position but was locked. The manufacturer stated that it could not be locked if not in correct position. The frame adapter used in the procedure was a new product. The older adapters could not be locked if not in correct position.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5061035
MDR Report Key5515905
Date Received2016-03-18
Date of Report2016-03-03
Date of Event2016-02-02
Date Added to Maude2016-03-22
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 NameELEKTA
Generic NameFRAME ADAPTER
Product CodeIWB
Date Received2016-03-18
Model Number1049544
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerELEKTA
Manufacturer AddressATLANTA GA US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2016-03-18

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