inforMED
MalfunctionIWG

THERASEED PALLADIUM 103 IMPLANTS

Received Sep 29, 2000 · Event occurred Sep 8, 2000

Report 1057128-2000-00001 · MDR key 298841

Device

Generic name

Brachytherapy Implants

Manufacturer

Theragenics Corp.

Catalog number

NA

Lot number

0034F

Product problems

  • Mislabeled

Patient

*

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

TWO SHIPMENTS WERE RECEIVED BY THE USER FACILITY, EACH HAVING A DIFFERENT LOT NUMBER. SHIPMENT A CONTAINED THE CERTIFICATION STATING PRODUCT IDENTITY FOR SHIPMENT B, AND SHIPMENT B CONTAINED THE CERTIFICATION FOR SHIPMENT A. THE ACTUAL DEVICE LABELS WERE CORRECT. THE USER FACILITY DETECTED THE ERROR, AND THERE WAS NO PT EFFECT. BOTH SHIPMENTS WERE RETURNED TO THE MFR.

Remedial action

  • Replace