FDA Adverse Event Summary report: N

MCLAREN PROTON THERAPY SYSTEM

MDR report key: 11201305 · Received January 19, 2021

Report

Report Number
MW5098882
Date Received
January 19, 2021
Report Date
January 14, 2021
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 SYSTEM ROTATED UNCONTROLLABLY AND COLLIDED WITH THE NOZZLE OF THE DELIVERY SYSTEM. FDA SAFETY REPORT ID # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
95442 MCLAREN PROTON THERAPY SYSTEM SYSTEM, RADIATION THERAPY, CHARGED-PARTICLE, MEDICAL LHN MCLAREN HEALTH CARE

Patients

Seq Age Sex Outcome Treatment
1