MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-12-29 for BARD? QUICKLINK? CARTRIDGES WITH BRACHYSOURCE? I-125 SEEDS 1251QCL manufactured by Bard Brachytherapy, Inc. -1424526.
[96225944]
The investigation is still in progress. Once the investigation is complete a supplemental report will be filed. The information provided by bard represents all of the known information at this time. Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bard.
Patient Sequence No: 1, Text Type: N, H10
[96225945]
It was reported that the seeds would not come out of our calibration cartridge no matter how many times it was reloaded, re-aligned, pushed down on it etc, etc nothing happened. There appeared to be some sort of misalignment as the? Expel? Button was just solid and wouldn? T depress properly. Also, on a second cartridge a seed fell through the loader and onto the baseplate, but we have had that on one other previous occasion. It just appeared to fall out ie. "i didn? T try and load it into a source train and it just didn? T appear in the source train window requiring me to have a second attempt of depressing the? Expel? Button. " all source trains made up ok from that cartridge but it was just at the end of the cartridge that a seed was? Missing? Ie. "i had 1 less seed in the cartridge than i was expecting namely the one that had fallen through. " the patient did not received all seeds.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1018233-2017-06520 |
| MDR Report Key | 7155458 |
| Date Received | 2017-12-29 |
| Date of Report | 2018-02-01 |
| Date Mfgr Received | 2018-01-29 |
| Date Added to Maude | 2017-12-29 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | AMY GRAVLEY |
| Manufacturer Street | 8195 INDUSTRIAL BLVD |
| Manufacturer City | COVINGTON GA 30014 |
| Manufacturer Country | US |
| Manufacturer Postal | 30014 |
| Manufacturer Phone | 7707846100 |
| Manufacturer G1 | BARD BRACHYTHERAPY, INC. -1424526 |
| Manufacturer Street | 295 EAST LIES ROAD |
| Manufacturer City | CAROL STREAM IL 60188 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 60188 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | BARD? QUICKLINK? CARTRIDGES WITH BRACHYSOURCE? I-125 SEEDS |
| Generic Name | SEEDS |
| Product Code | KXK |
| Date Received | 2017-12-29 |
| Model Number | 1251QCL |
| Catalog Number | 1251QCL |
| Lot Number | UNK |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BARD BRACHYTHERAPY, INC. -1424526 |
| Manufacturer Address | 295 EAST LIES ROAD CAROL STREAM IL 60188 US 60188 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2017-12-29 |