MEVION S250

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2017-01-13 for MEVION S250 manufactured by Mevion Medical Systems, Inc..

Event Text Entries

[64779264] During patient setup, a radiation therapist failed to note the distance between the treatment machine applicator (the delivery head of the treatment machine) and the treatment table and pinched her finger between the applicator and the treatment table. As the applicator approaches the treatment area, it enters a slow mode of movement to prevent injuries. The therapists are trained and warned in the instructions for use to carefully monitor applicator position when moving it into treatment location.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007087027-2017-00004
MDR Report Key6249580
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2017-01-13
Date of Report2017-01-13
Date of Event2016-08-23
Date Mfgr Received2017-01-05
Device Manufacturer Date2015-05-26
Date Added to Maude2017-01-13
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. THOMAS FARIS
Manufacturer Street300 FOSTER STREET
Manufacturer CityLITTLETON MA 01460
Manufacturer CountryUS
Manufacturer Postal01460
Manufacturer Phone9785401500
Manufacturer G1MEVION MEDICAL SYSTEMS, INC.
Manufacturer Street300 FOSTER STREET
Manufacturer CityLITTLETON MA 01460
Manufacturer CountryUS
Manufacturer Postal Code01460
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMEVION S250
Generic NameMEVION S250 PROTON THERAPY SYSTEM
Product CodeLHN
Date Received2017-01-13
Model NumberMEVION S250
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEVION MEDICAL SYSTEMS, INC.
Manufacturer Address300 FOSTER STREET LITTLETON MA 01460 US 01460


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-01-13

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