CHAIRMAN DENTAL CHAIR L1 007890

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 1997-07-31 for CHAIRMAN DENTAL CHAIR L1 007890 manufactured by Siemens Pelton & Crane.

Event Text Entries

[19954366] Pelton & crane received a call from an authorized service technician who was at a doctors office in regards to the doctors chairman chair breaking while lifting a pt. The pt did not fall out of the chair. There were no injuries reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1017522-1997-00103
MDR Report Key109955
Report Source00
Date Received1997-07-31
Date of Report1997-07-31
Device Manufacturer Date1977-04-01
Date Added to Maude1997-08-04
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 FDA3
Event Location0
Single Use3
Remedial ActionRP
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameCHAIRMAN DENTAL CHAIR
Generic NameDENTAL OPERATORY CHAIR
Product CodeKLC
Date Received1997-07-31
Model NumberL1
Catalog Number007890
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key108026
ManufacturerSIEMENS PELTON & CRANE
Manufacturer AddressPO BOX 7800 CHARLOTTE NC 282417800 US
Baseline Brand NameCHAIRMAN
Baseline Generic NameDENTAL CHAIR
Baseline Model NoL1
Baseline Catalog No007890
Baseline IDNA
Baseline Device FamilyDENTAL OPERATORY WITH ACCESSORIES
Baseline Shelf Life ContainedA
Baseline Shelf Life [Months]*
Baseline PMA FlagN
Baseline 510K PMNN
Baseline PreamendmentN
Baseline TransitionalN
510k ExemptN


Patients

Patient NumberTreatmentOutcomeDate
10 1997-07-31

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.