MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 1997-10-08 for FERNO BACKBOARD manufactured by Ferno-washington, Inc..
[21635174]
Customer claims board broke in two. No injuries.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1523574-1997-00129 |
| MDR Report Key | 126214 |
| Report Source | 05 |
| Date Received | 1997-10-08 |
| Date of Report | 1997-09-04 |
| Date Mfgr Received | 1997-09-04 |
| Date Added to Maude | 1997-10-17 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| 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 | 0 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | FERNO BACKBOARD |
| Generic Name | BACKBOARD |
| Product Code | FPS |
| Date Received | 1997-10-08 |
| Model Number | NA |
| Catalog Number | NA |
| Lot Number | NA |
| ID Number | NA |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | NA |
| Device Eval'ed by Mfgr | N |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 123538 |
| Manufacturer | FERNO-WASHINGTON, INC. |
| Manufacturer Address | 70 WEIL WAY WILMINGTON OH 45177 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1997-10-08 |