RADIATION THERAPY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-08-21 for RADIATION THERAPY manufactured by Unk.

Event Text Entries

[83210058] Doctors from (b)(6) hospital corp used radiation to remove tonsils which later i developed tumors and cancer. Date of use: (b)(6) 1973. "how was it taken or used: oral. " the problem did not stop after the person reduced the dose or stopped taking or using the product.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5071697
MDR Report Key6806782
Date Received2017-08-21
Date of Report2017-08-17
Date of Event1973-03-18
Date Added to Maude2017-08-21
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameRADIATION THERAPY
Generic NameRADIATION THERAPY MEDICAL SYSTEM
Product CodeLHN
Date Received2017-08-21
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No0
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Deathisabilit 2017-08-21

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