ADVANCED CONTROL PAD SYSTEM 5943AP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2008-04-21 for ADVANCED CONTROL PAD SYSTEM 5943AP manufactured by Mizuho Orthopedic Systems, Inc..

Event Text Entries

[835310] Customer complained that wo patients suffered skin abrasions after use on advanced control pad system.
Patient Sequence No: 1, Text Type: D, B5


[8025484] Contacted risk management for the hospital, she was happy we called concerning her issues. She immediately stated that the table is currently in use and they are no longer having issues with the product. I asked if they were using patient kit covers over the pad and she was not sure. I asked if the anesthesiologist was monitoring the pressure points on the patient. She stated that they were no longer checking the pt because they believed the massaging action eliminated further need for pt monitoring. I informed her that the pads provide massaging actions. However, that should not eliminate the need to check for pressure problems with any patient. She also requested that the sales rep come into the hospital to complete an in-service training on the table system.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2921578-2008-00010
MDR Report Key1033064
Report Source06
Date Received2008-04-21
Date of Report2008-04-15
Date of Event2008-01-30
Date Mfgr Received2008-02-07
Device Manufacturer Date2007-08-31
Date Added to Maude2009-08-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMR. KIRKE JAYNE
Manufacturer Street30031 AHERN AVE.
Manufacturer CityUNION CITY CA 945871234
Manufacturer CountryUS
Manufacturer Postal945871234
Manufacturer Phone5104768125
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameADVANCED CONTROL PAD SYSTEM
Generic NameOPERATING ROOM TABLE
Product CodeFWY
Date Received2008-04-21
Model Number5943AP
Catalog Number5943AP
OperatorOTHER
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerMIZUHO ORTHOPEDIC SYSTEMS, INC.
Manufacturer Address30031 AHERN AVENUE UNION CITY CA 94587123 US 94587 1234


Patients

Patient NumberTreatmentOutcomeDate
158031. Other 2008-04-21

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