FDA Adverse Event Summary report: N

SATURNE 41

MDR report key: 34283 · Received July 19, 1996

Report

Report Number
MW1009526
Date Received
July 19, 1996
Date of Event
June 18, 1996
Report Date
July 12, 1996
Manufacturer
GENERAL ELECTRIC CO.
Product Code
IYE
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
IL, US
Reporter Occupation
RADIOLOGIC TECHNOLOGIST

Narratives

Description of Event or Problem · 1

ELECTRON TRIMMER BAR FELL OUT OF MACHINE. T BAR SCREW WAS FAULTY AND BROKE OFF. NO INJURIES WERE SUSTAINED, BUT BAR DID HIT TABLE AND BOUNCE ON FLOOR AND LEAVE DENT IN FLOOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SATURNE 41 MEDICAL LINEAR ACCELERATOR IYE GENERAL ELECTRIC CO. SATURNE 41

Patients

Seq Age Sex Outcome Treatment
1 NO INFO