MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2008-08-15 for * 7720 manufactured by Reliance Medical Products.
[939226]
Technician was taking a corneal measurement on a patient when he moved the arm back into position, the instrument stand fell over. Safety designed stand that should not fall over.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1145826 |
| MDR Report Key | 1145826 |
| Date Received | 2008-08-15 |
| Date of Report | 2008-08-15 |
| Date of Event | 2008-08-05 |
| Report Date | 2008-08-15 |
| Date Reported to FDA | 2008-08-15 |
| Date Added to Maude | 2008-09-05 |
| 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 |
| Reporter Occupation | RISK MANAGER |
| 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 | * |
| Generic Name | INSTRUMENT STAND, OPHTHALMIC |
| Product Code | HMF |
| Date Received | 2008-08-15 |
| Model Number | 7720 |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Device Availability | Y |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 1160266 |
| Manufacturer | RELIANCE MEDICAL PRODUCTS |
| Manufacturer Address | 3535 KINGS MILLS ROAD MASON OH 450402303 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2008-08-15 |