MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1997-10-27 for BLICKMAN HEALTH INDUSTRIES 7742 * manufactured by Blickman Health Industries.
[20467773]
This is the second occurrence of a stainless steel or chair that broke when an employee sat on it. One employee is out on disability secondary to her back injury. The second employee's injuries are less severe.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 129685 |
| MDR Report Key | 129685 |
| Date Received | 1997-10-27 |
| Date of Report | 1997-10-22 |
| Date of Event | 1997-10-20 |
| Date Facility Aware | 1997-10-20 |
| Report Date | 1997-10-22 |
| Date Reported to FDA | 1997-10-22 |
| Date Reported to Mfgr | 1997-10-22 |
| Date Added to Maude | 1997-11-05 |
| 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 | BLICKMAN HEALTH INDUSTRIES |
| Generic Name | STAINLESS STEEL OPERATING ROOM STOOL |
| Product Code | FZK |
| Date Received | 1997-10-27 |
| Model Number | 7742 |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | 17 YR |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 126843 |
| Manufacturer | BLICKMAN HEALTH INDUSTRIES |
| Manufacturer Address | 39 ROBINSON RD. RT. 17 SOUTH LODI NJ 07644 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Deathisabilit | 1997-10-27 |