LEKSELL GAMMA KNIFE PERFEXION

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2016-10-12 for LEKSELL GAMMA KNIFE PERFEXION manufactured by Elekta Instrument Ab.

Event Text Entries

[57139802] Device in clinical use.
Patient Sequence No: 1, Text Type: N, H10


[57139803] A patient had an intracranial bleed during a gamma knife treatment. The patient was being treated for intracranial metastatic brian lesions, of origin from melanoma. We understand the patient has since passed away.
Patient Sequence No: 1, Text Type: D, B5


[73914497] Patient suffered an intracranial bleed following an lgk treatment. The patient was being treated for intracranial metastatic brain lesions, of origin from melanoma. The patient is deceased. The device was used within its intended use and worked as intended. Treatment was per available information performed in two sessions, whereas complications occurred after the second session. Upon ct examination a haemorrhage was identified as being associated with the location fo the first treatment and one smaller associated with the second treatment. The cause of death is not known as the patient was sent to another hospital for treatment. The gamma knife did operate as intended according to the information from the doctor at site. No new risks have been identified.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9612186-2016-00007
MDR Report Key6020986
Report SourceOTHER
Date Received2016-10-12
Date of Report2017-04-27
Date of Event2016-06-21
Date Mfgr Received2016-09-23
Date Added to Maude2016-10-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactPMS
Manufacturer StreetLINAC HOUSE FLEMING WAY
Manufacturer CityCRAWLEY, WEST SUSSEX RH109RR
Manufacturer CountryUK
Manufacturer PostalRH10 9RR
Manufacturer G1ELEKTA INSTRUMENT AB
Manufacturer StreetKUNGSTENSGATAN 18 PO BOX 7593
Manufacturer CitySTOCKHOLM, SE10393
Manufacturer CountrySW
Manufacturer Postal CodeSE103 93
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameLEKSELL GAMMA KNIFE PERFEXION
Generic NameSYSTEM, RADIATION THERAPY, RADIONUCLIDE
Product CodeIWB
Date Received2016-10-12
OperatorHEALTH PROFESSIONAL
Device Availability*
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerELEKTA INSTRUMENT AB
Manufacturer AddressKUNGSTENSGATAN 18 PO BOX 7593 STOCKHOLM, SE10393 SW SE103 93


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2016-10-12

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