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 |