FDA Adverse Event Injury Summary report: N

VERSA HD

MDR report key: 25170442 · Received May 14, 2026

Report

Report Number
3015232217-2026-00012
Event Type
Injury
Date Received
May 14, 2026
Date of Event
April 17, 2026
Report Date
May 14, 2026
Manufacturer
ELEKTA SOLUTIONS AB
Product Code
IYE
PMA / PMN Number
K210500
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
HK
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

MANUFACTURING DATE IS NOT ON THE LABEL AS PI, BUT IT IS KNOWN SO FIELD H4 HAS BEEN COMPLETED WITH THIS INFORMATION. THE MANUFACTURER'S INVESTIGATION IS ON-GOING AND FURTHER INFORMATION WILL BE PROVIDED ONCE THE INVESTIGATION HAS COMPLETED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED AN ELECTRICAL SAFETY INCIDENT INVOLVING A HOSPITAL ENGINEER DURING A SCHEDULED PREVENTIVE MAINTENANCE (PM) PROCEDURE. THE INCIDENT RESULTED IN A LOCALIZED SKIN BURN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
49126 VERSA HD ACCELERATOR, LINEAR, MEDICAL, IYE ELEKTA SOLUTIONS AB

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other