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 | * |