BEUDAMED
    FDA Adverse Event Death Summary report: N

    RADIATION THERAPY

    MDR report key: 1760650 · Received July 13, 2010

    Report

    Report Number
    MW5016722
    Event Type
    Death
    Date Received
    July 13, 2010
    Date of Event
    December 15, 2009
    Report Date
    July 13, 2010
    Manufacturer
    UNK
    Product Code
    IYE
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    SEVERE RADIATION BURN OF SCALP FROM WHOLE BRAIN RADIATION. RADIATION THERAPY IN (B) (6) 2009 AT (B) (6) HOSPITAL IN (B) (6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RADIATION THERAPY RADIATION THERAPY IYE UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Death