FDA Adverse Event Malfunction Summary report: N

MICROSELECTION HIGH DOSE RATE REMOTE AFTERLOADING SYSTEM

MDR report key: 19440 · Received February 6, 1995

Report

Report Number
MW1005027
Event Type
Malfunction
Date Received
February 6, 1995
Report Date
February 3, 1995
Manufacturer
NUCLETRON CORP.
Product Code
JAQ
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NJ, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE MFR COMES TO THE HOSP EVERY THREE MONTHS TO REPLACE THE SOURCE AND DO PREVENTIVE MAINTENANCE. DURING THE LAST VISIT A DEFECTIVE TIMER CRYSTAL WAS INSTALLED. THE SERVICEMAN NEVER CHECKED THE ACCURACY OF THE TIMER, WHICH WAS FOUND TO BE OFF BY ONE SECOND PER MINUTE BY THE HOSP DURING QC CHECKS PRIOR TO PT TREATMENT. THE RPTR IS CONCERNED THAT THE SERVICEMAN ASSUMED THE TIMER TO BE ACCURATE AND DID NOT CHECK IT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MICROSELECTION HIGH DOSE RATE REMOTE AFTERLOADING SYSTEM JAQ NUCLETRON CORP.

Patients

Seq Age Sex Outcome Treatment
1 *