16.2 PINNACLE3 SW 459801419351

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-09-27 for 16.2 PINNACLE3 SW 459801419351 manufactured by Philips Medical Systems.

Event Text Entries

[122163201]
Patient Sequence No: 1, Text Type: N, H10


[122163202] The problem is that the density override as reported in the regions of interest window is different from the density that is actually used for dose calculation in the plan, only occurs when there is a proton license on the system. When there is no proton license this does not occur.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004022368-2018-00004
MDR Report Key7915791
Date Received2018-09-27
Date of Report2018-08-29
Date Mfgr Received2018-08-29
Date Added to Maude2018-09-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMRS. JILL KAEDER
Manufacturer Street5520 NOBEL DRIVE, SUITE 125
Manufacturer CityFITCHBURG WI 53711
Manufacturer CountryUS
Manufacturer Postal53711
Manufacturer G1PHILIPS MEDICAL SYSTEMS
Manufacturer CityFITCHBURG WI
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand Name16.2 PINNACLE3 SW
Generic NameSYSTEM, NUCLEAR MAGNETIC RESONANCE IMAGING
Product CodeMUJ
Date Received2018-09-27
Model Number459801419351
Catalog NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerPHILIPS MEDICAL SYSTEMS
Manufacturer Address5520 NOBEL DRIVE, SUITE 125 FITCHBURG WI 53711 US 53711


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-09-27

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