inforMED
OtherMOU

ALPHA IV REV.2,40MM ACTIVE TRANSFER DEVICE

Received Dec 11, 2002 · Event occurred Nov 1, 2002

Report 1062385-2002-00042 · MDR key 432630

Device

Generic name

Transfer Device

Model number

A1733

Catalog number

WLC-0001-033

Lot number

NA

Product problems

  • Other (for use when an appropriate device code cannot be identified)
  • Inaccurate Delivery

Patient

*

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

COMPLAINANT REPORTED A MISADMINISTRATION INVOLVING THE 40MM SOURCE TRAIN. DURING THE TREATMENT, THE DOCTOR NOTICED MOVEMENT OF THE DISTAL MARKER THAT COULD POSSIBLY RESULT IN SOURCE MOVEMENT. AT THAT TIME, THE DOCTOR DECIDED TO REMOVE THE ENTIRE BETA-CATH SYSTEM FROM THE PT AND PLACED IN THE BAIL OUT BOX AT 2 MINUTES AND 24 SECONDS INTO THE TREATMENT. THE PT WAS SURVEYED IMMEDIATELY AND NO ADVERSE EVENT WAS REPORTED. THIS RESULTED IN A DELIVERED DOSE OF -29% FROM THE PRESCRIBED DOSE VALUE.