Brand Name | GAMMATILE |
Type of Device | RADIONUCLIDE BRACHYTHERAPY SEEDS |
Manufacturer (Section D) |
GT MEDICAL TECHNOLOGIES |
1809 s holbrook lane |
suite 107 |
tempe AZ 85281 6051 |
|
Manufacturer (Section G) |
ISORAY MEDICAL, INC |
350 hills street |
suite 106 |
richland WA 99354 |
|
Manufacturer Contact |
jessica
newhard
|
1809 s holbrook lane |
suite 109 |
tempe, AZ 85281-6051
|
4802768609
|
|
MDR Report Key | 10797260 |
MDR Text Key | 215017827 |
Report Number | 3014663932-2020-00001 |
Device Sequence Number | 1 |
Product Code |
KXK
|
UDI-Device Identifier | 60860000064509 |
UDI-Public | (01)60860000064509(11)200327(17)200403(10)DO2013037 |
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K190839 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
health professional |
Reporter Occupation |
Physician
|
Type of Report
| Initial |
Report Date |
11/03/2020 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 11/05/2020 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device Catalogue Number | GT-06 |
Device Lot Number | D02013-037 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 09/24/2020 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 03/27/2020 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Required Intervention;
|