FDA Adverse Event Malfunction Summary report: N

CLINAC

MDR report key: 1163388 · Received September 10, 2008

Report

Report Number
2916710-2008-00041
Event Type
Malfunction
Date Received
September 10, 2008
Date of Event
August 11, 2008
Report Date
August 11, 2008
Manufacturer
VARIAN MEDICAL SYSTEMS
Product Code
IYE
PMA / PMN Number
K913119
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THOUGH STILL UNDER INVESTIGATION, VARIAN HAS DETERMINED THAT A MDR IS APPROPRIATE, AS THIS MALFUNCTION, SHOULD IT RECUR, COULD POTENTIALLY CAUSE A SERIOUS INJURY. ADDITIONAL FOLLOW-UP TO THIS MDR IS EXPECTED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem · 1

THE GANTRY STOPPED ROTATING DURING TREATMENT DUE TO A LOOSE MOTOR DRIVE ASSEMBLY CAUSING THE GANTRY CHAIN TO SLIP OFF. THERE WERE NO INJURIES INVOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CLINAC LINEAR ACCELERATOR IYE VARIAN MEDICAL SYSTEMS CL-IX

Patients

Seq Age Sex Outcome Treatment
1