THERASPHERE NI

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2005-11-29 for THERASPHERE NI manufactured by Mds Nordion.

Event Text Entries

[431223] In a study under hde protocol of therasphere for treatment of unresectable hcc, the pt experienced a sae in the evening 2005: transient temperature spiked up to 100. 5 f (as per spouse's report) after treatment with therasphere. Per report, fever resolved by morning of the following day with use of medrol dose pack and antibiotics. The case was judged by the clinical site as probably related to the treatment.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8022247-2005-00017
MDR Report Key649488
Report Source05,06
Date Received2005-11-29
Date of Report2005-11-02
Date of Event2005-09-29
Date Mfgr Received2005-11-02
Date Added to Maude2005-12-07
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 Location0
Manufacturer ContactANN WARBICK-CERONE
Manufacturer Street447 MARCH RD
Manufacturer CityOTTAWA, ON K2K 1X8
Manufacturer CountryCA
Manufacturer PostalK2K 1X8
Manufacturer Phone5923400
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTHERASPHERE
Generic NameRADIOACTIVE MICROSPHERES
Product CodeIWA
Date Received2005-11-29
Model NumberNI
Catalog NumberNI
Lot NumberNI
ID NumberNI
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key638979
ManufacturerMDS NORDION
Manufacturer Address447 MARCH RD. OTTAWA, ONTARIO CA K2K 1X8


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2005-11-29

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