GILASITE RADIATION THERAPY SYSTEM (RTS) * 1030

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2006-07-31 for GILASITE RADIATION THERAPY SYSTEM (RTS) * 1030 manufactured by Cytyc Surgical Products.

Event Text Entries

[17436838] It was reported that the gliasite baloon catheter wa explanted and iotrex radiotherapy solution was retrieved 29 hours prior to the completion of brachytherapy. It was reported that the patient was implanted with the gliasite catheter 3/10/2005. Patient was admitted to hospital 03/20/2005 after diagnosis of sepsis due to infection. Patient evaluated by neurosurgeon and radiation oncologist (ro). Ro reported radiation in the bladder. On 03/21/2005, device was explanted and iotrex was retrieved in the operating room under anesthesia because of patient discomfort caused by the infection. Iotrex was retrieved at 6:15pm; however, radiation was not recorded in the bladder at 4:30pm post-retrieval.
Patient Sequence No: 1, Text Type: D, B5


[17660187] Lot history record reviewed - no evidence of product sterilization issues. Device was not returned for evaluation. Infection is an anticipated adverse event associated with cranial brachytherapy.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1067103-2006-00004
MDR Report Key744160
Report Source05
Date Received2006-07-31
Date of Report2005-03-21
Date of Event2005-03-21
Date Mfgr Received2005-03-21
Date Added to Maude2006-08-07
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 Street1047 ELWELL COURT
Manufacturer CityPALO ALTO, CA 94303
Manufacturer CountryUS
Manufacturer Postal94303
Manufacturer Phone6503352603
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameGILASITE RADIATION THERAPY SYSTEM (RTS)
Generic NameMANUAL RADIONUCLIDE APPLICATOR
Product CodeIWJ
Date Received2006-07-31
Model Number*
Catalog Number1030
Lot NumberM22417
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Implant FlagY
Date RemovedV
Device Sequence No1
Device Event Key731957
ManufacturerCYTYC SURGICAL PRODUCTS
Manufacturer Address1047 ELWELL COURT. PALO ALTO, CA 94303 US


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other; 3. Required No Informationntervention 2006-07-31

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