BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VARIAN LINEAR ACCELERATOR

    MDR report key: 10754 · Received January 4, 1994

    Report

    Report Number
    MW1000280
    Event Type
    Malfunction
    Date Received
    January 4, 1994
    Date of Event
    January 3, 1994
    Report Date
    January 3, 1994
    Manufacturer
    VARIAN ASSOC., INC.
    Product Code
    IYE
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    PHYSICIST

    Narratives

    Description of Event or Problem · 1

    DURING SET UP, THE FOLLOWING EVENTS OCCURRED AT THE SAME TIME: COUCH LATERAL, COUCH ROTATE, COUCH UP AND GANTRY ROTATE. THE PT SUFFERED NO ADVERSE EFFECTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VARIAN LINEAR ACCELERATOR IYE VARIAN ASSOC., INC. 2100 C

    Patients

    Seq Age Sex Outcome Treatment
    1 *