BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CLINAC LINEAR ACCELERATOR

    MDR report key: 129269 · Received October 30, 1997

    Report

    Report Number
    MW1012382
    Event Type
    Malfunction
    Date Received
    October 30, 1997
    Date of Event
    October 29, 1997
    Report Date
    October 30, 1997
    Manufacturer
    VARIAN ASSOC. INC
    Product Code
    IYE
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    PHYSICIST

    Narratives

    Description of Event or Problem · 1

    TREATMENT TABLE BECAME UNLOCKED AFTER THE THERAPIST LEFT THE ROOM.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 NA