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 2018-08-07 for RADIATION THERAPY manufactured by Unk.

Event Text Entries

[116639779] Water blister development on the hips post radiation. Diagnosis or reason for use: breast cancer.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5078937
MDR Report Key7762503
Date Received2018-08-07
Date of Report2018-08-03
Date Added to Maude2018-08-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPHARMACIST
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 NameSYSTEM, PLANNING, RADIATION THERAPY TREATMENT
Product CodeMUJ
Date Received2018-08-07
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-08-07

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