BEUDAMED
    FDA Adverse Event Other Summary report: N

    VARIAN 2100C

    MDR report key: 173289 · Received June 15, 1998

    Report

    Report Number
    MW1014021
    Event Type
    Other
    Date Received
    June 15, 1998
    Date of Event
    May 28, 1998
    Report Date
    May 28, 1998
    Manufacturer
    VARIAN ASSOC. INC.
    Product Code
    IYE
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WHILE OPERATING THE VARIAN 2100C LINEAR ACCELERATOR, THE GANTRY HEAD ROTATION, GANTRY ARM ROTATION, AND UPWARD TABLE MOVEMENT CONTROLS WORKED INDEPENDANTLY OF THE PENDANT ACTIVATION SWITCH. A PT BECAME LODGED BETWEEN THE GANTRY HEAD AND TREATMENT COUCH. THE TABLE CONTROL EMERGENCY OFF SWITCH WAS ACTIVATED AND THE PT WAS ASSISTED DOWN FROM THE TREATMENT COUCH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VARIAN 2100C LINEAR ACCELERATOR IYE VARIAN ASSOC. INC. 2100C 796

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Other