inforMED
MalfunctionIWG

THERASEED

Received Jun 5, 1999 · Event occurred Apr 13, 1999

Report 1057128-1999-00001 · MDR key 229664

Device

Generic name

Brachytherapy Implant

Manufacturer

Theragenics Corp

Model number

MODEL 200

Catalog number

TS200

Lot number

9914F & 9914G

Product problems

  • Off-Label Use
  • Out-Of-Box Failure

Patient

NA

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

TWO SHIPMENTS WERE REC'D BY THE USER FACILITY, EACH HAVING A DIFFERENT LOT NUMBER. SHIPMENT A CONTAINED THE CALIBRATION SEED FOR SHIPMENT B AND SHIPMENT B CONTAINED THE CALIBRATION SEED FOR SHIPMENT A. THE USER FACILITY DETECTED THE ERROR AND THERE WAS NO PT IMPACT.