BEUDAMED
    FDA Adverse Event Other Summary report: N

    LINEAR ACCELERATOR

    MDR report key: 29451 · Received January 24, 1996

    Report

    Report Number
    MW1008160
    Event Type
    Other
    Date Received
    January 24, 1996
    Date of Event
    January 10, 1996
    Report Date
    January 11, 1996
    Manufacturer
    VARIAN ASSOC. INC.
    Product Code
    IYE
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    PHYSICIST

    Narratives

    Description of Event or Problem · 1

    WHEN ATTACHING THE ACCESSORY HOLDER WITH THE LOWER WEDGE TRAY HOLDER ATTACHED, A GREEN LIGHT WAS OBTAINED INDICATING A SECURE (SAFE) MOUNT. AFTER LEAVING THE UNIT, THE HOLDER FELL TO THE FLOOR. FORTUNATELY, THE PT WAS NOT UNDER THE MACHINE, BUT COULD HAVE BEEN SERIOUSLY INJURED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LINEAR ACCELERATOR LINEAR ACCELERATOR IYE VARIAN ASSOC. INC. 2300 C/D

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other