inforMED
MalfunctionIWI

RAPIDSTRAND RX

Received Oct 18, 2013 · Event occurred May 16, 2013

Report 2915056-2013-00063 · MDR key 3482053

Device

Generic name

Radionuclide Brachytherapy Source

Manufacturer

Ge Healthcare

Lot number

130227A

Product problems

  • Manufacturing, Packaging or Shipping Problem

Patient

Not reported

  • No Patient Involvement

Narrative

Description of Event or Problem

REPORT # 2915056-2013-00063 IS A HEALTH PROFESSIONAL REPORT FROM USA THAT INVOLVES A PT-SPECIFIC RAPIDSTRAND RX IMPLANT THAT CONTAINED TWO INCORRECTLY CONFIGURED NEEDLES. THE PRODUCT AUTORADIOGRAPH SHOWED ALL NEEDLES PER TREATMENT PLAN; HOWEVER, THE FACILITY NOTED THAT NEEDLE 25 CONTAINED 3 SEEDS (5 WERE SPECIFIED) AND THAT NEEDLE 26 CONTAINED 5 SEEDS (3 WERE SPECIFIED). QA INVESTIGATION (B)(4) REPORT PENDING.