BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ADAC PINACLE 3

    MDR report key: 522097 · Received September 29, 2003

    Report

    Report Number
    522097
    Event Type
    Injury
    Date Received
    September 29, 2003
    Date of Event
    January 23, 2003
    Report Date
    September 25, 2003
    Manufacturer
    ADAC LABORATORIES
    Product Code
    MUJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OR, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADAC PINACLE 3 TREATMENT PLANNING COMPUTER MUJ ADAC LABORATORIES * *
    2 DICOM RT INFORMATION TRANSFER COMPUTER LMD PHILLIPS/ADAC * *
    3 IMPAC MULTI ACCESS ELECTRONIC PATIENT CHART LNX IMPAC * *

    Patients

    Seq Age Sex Outcome Treatment
    1 32 YR Required Intervention DICOM & IMPAC RT.