MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1993-08-04 for CHICK-FRACTURE TABLE CLT UNKNOWN manufactured by Midmark.
[5199]
During surgery, o. R. Table (chick fracture table) dropped. Hydrolics broken, fluid all over floor. Patient transferred intraoperatively to another chick fracture table.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 10197 |
| MDR Report Key | 10197 |
| Date Received | 1993-08-04 |
| Date of Report | 1993-07-28 |
| Date of Event | 1993-06-04 |
| Date Facility Aware | 1993-06-07 |
| Report Date | 1993-07-29 |
| Date Reported to Mfgr | 1993-06-15 |
| Date Added to Maude | 1993-10-04 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | CHICK-FRACTURE TABLE |
| Generic Name | O.R. - FRACTURE TABLE |
| Product Code | FSE |
| Date Received | 1993-08-04 |
| Model Number | CLT |
| Catalog Number | UNKNOWN |
| Lot Number | UNKNOWN |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | * |
| Implant Flag | N |
| Date Removed | B |
| Device Sequence No | 1 |
| Device Event Key | 10197 |
| Manufacturer | MIDMARK |
| Manufacturer Address | 60 VISTA DRIVE VERSAILLES OH 45380 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 1993-08-04 |