SOURCE, BRACHYTHERAPY, RADIONUCLIDE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-15 for SOURCE, BRACHYTHERAPY, RADIONUCLIDE manufactured by Unk.

Event Text Entries

[145478731] Reporter stated he had brachytherapy in 2016 as part of his cancer treatment and he is suffering from the adverse effects ever since. Reporter stated the radiation therapy should not have been done to him in the first place since he has a paralyzed diaphragm. He also said even though the (b)(6) recommended the treatment to be done in 10 days they did it in 5 days. He said he was fine for the first few days after the treatment. By the third or fourth day, he started having flu like symptoms, muscle pain, joint pain and difficulty breathing. To this day he takes prednisone 30 mg, and sleeps on oxygen. He cannot walk not more than 15 feet and does not do any work as a result.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5086696
MDR Report Key8616237
Date Received2019-05-15
Date of Report2019-05-15
Date of Event2016-01-14
Date Added to Maude2019-05-16
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
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 NameSOURCE, BRACHYTHERAPY, RADIONUCLIDE
Generic NameSOURCE, BRACHYTHERAPY, RADIONUCLIDE
Product CodeKXK
Date Received2019-05-15
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2019-05-15

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