FDA Adverse Event Summary report: N

MCLAREN PROTON THERAPY SYSTEM

MDR report key: 11045783 · Received December 18, 2020

Report

Report Number
MW5098456
Date Received
December 18, 2020
Report Date
December 16, 2020
Manufacturer
MCLAREN HEALTH CARE
Product Code
LHN
Report Source
Voluntary report
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

THE PROTON THERAPY SYSTEM DELIVERED AN INCORRECT AMOUNT OF DOSE THAN PRESCRIBED WHEN THE WRONG FIELD SIZE WAS LOADED BY THE DEVICE. FDA SAFETY REPORT ID# (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1499051 MCLAREN PROTON THERAPY SYSTEM SYSTEM, RADIATION THERAPY, CHARGED-PARTICLE, MEDICAL LHN MCLAREN HEALTH CARE

Patients

Seq Age Sex Outcome Treatment
1