MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1993-12-21 for BLOOD DRAWING CHAIR manufactured by Hamilton Industries.
[9372]
The arm of the chair fell off on three occasions. This occurred once during a blood drawing procedure.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1000212 |
| MDR Report Key | 10643 |
| Date Received | 1993-12-21 |
| Date of Report | 1993-12-20 |
| Date Added to Maude | 1993-12-28 |
| Event Key | 0 |
| Report Source Code | Voluntary 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 | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | BLOOD DRAWING CHAIR |
| Product Code | FML |
| Date Received | 1993-12-21 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | * |
| Implant Flag | N |
| Date Removed | B |
| Device Sequence No | 1 |
| Device Event Key | 10643 |
| Manufacturer | HAMILTON INDUSTRIES |
| Manufacturer Address | TWO RIVERS WI 54241 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1993-12-21 |