FDA Adverse Event Summary report: N

MCLAREN PROTON THERAPY SYSTEM

MDR report key: 11064936 · Received December 22, 2020

Report

Report Number
MW5098503
Date Received
December 22, 2020
Report Date
December 20, 2020
Manufacturer
MCLAREN HEALTH CARE
Product Code
LHN
Report Source
Voluntary report
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

THE MCLAREN PROTON THERAPY DEVICE REGISTERED A WRONG TREATMENT FIELD AND CAUSED AN ERROR IN THE PRESCRIBED DOSE DELIVERY. FDA SAFETY REPORT ID # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1525957 MCLAREN PROTON THERAPY SYSTEM SYSTEM, RADIATION THERAPY, CHARGED-PARTICLE, MEDICAL LHN MCLAREN HEALTH CARE

Patients

Seq Age Sex Outcome Treatment
1