* UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00 report with the FDA on 1997-06-16 for * UNK manufactured by Battle Creek Equipment Co..

Event Text Entries

[60990] A portable massage table collapsed, injuring a client's knee.
Patient Sequence No: 1, Text Type: D, B5

MAUDE Entry Details

• Report Number: 1811605-1997-00094
• MDR Report Key: 100343
• Report Source: 00
• Date Received: 1997-06-16
• Date of Report: 1997-05-14
• Date of Event: 1996-01-20
• Date Mfgr Received: 1997-05-14
• Date Added to Maude: 1997-06-26
• Event Key: 0
• Report Source Code: Manufacturer report
• Manufacturer Link: Y
• Number of Patients in Event: 0
• Adverse Event Flag: 3
• Product Problem Flag: 3
• Reprocessed and Reused Flag: 0
• Reporter Occupation: ATTORNEY
• Health Professional: 3
• Initial Report to FDA: 3
• Report to FDA: 3
• Event Location: 0
• Single Use: 3
• Previous Use Code: 3
• Event Type: 3
• Type of Report: 3

Device Details

• Brand Name: *
• Generic Name: PORTABLE MASSAGE TABLE
• Product Code: JFB
• Date Received: 1997-06-16
• Model Number: UNK
• Catalog Number: *
• Lot Number: *
• ID Number: *
• Operator: OTHER
• Device Availability: N
• Device Eval'ed by Mfgr: R
• Implant Flag: N
• Date Removed: *
• Device Sequence No: 1
• Device Event Key: 98856
• Manufacturer: BATTLE CREEK EQUIPMENT CO.
• Manufacturer Address: 307 WEST JACKSON ST. BATTLE CREEK MI 49017 US

Patients

Patient Number	Treatment	Outcome	Date
1	0	1. Other	1997-06-16