ALLEN MEDICAL SYSTEMS O-YFASI

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00,07 report with the FDA on 2009-04-07 for ALLEN MEDICAL SYSTEMS O-YFASI manufactured by Allen Medical Systems.

Event Text Entries

[1204685] In 2009, allen medical learned of a lawsuit filed regarding a previously unreported 2008 incident involving a nurse from medical center. There was no pt involvement. According to the legal complaint, the nurse "lifted upon the stirrup to remove it from the operating table. As she lifted the stirrup out of the slot on the operating table, the stirrup unexpectedly and without warning engaged causing the stirrup to snap shut on plaintiff's left hand. " according to the document, "severe and permanent injuries" were sustained.
Patient Sequence No: 1, Text Type: D, B5


[8175674] At the time of this report, the device has not been returned for evaluation. Co has not received photographs of the device which may help us understand the nature of the complaint. In legal documents, the serial number provided for the product was reported incorrectly. (the device is associated with a rail clamp product and not a stirrup. ) due to the lack of info, no conclusions can be made at this time.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1221538-2009-00003
MDR Report Key1359116
Report Source00,07
Date Received2009-04-07
Date of Report2009-04-07
Date of Event2008-05-08
Date Mfgr Received2009-04-07
Date Added to Maude2009-04-16
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationATTORNEY
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactNANCY ROYALTY, DIR
Manufacturer StreetONE POST OFFICE SQUARE
Manufacturer CityACTON MA 01720
Manufacturer CountryUS
Manufacturer Postal01720
Manufacturer Phone8004335774
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameALLEN MEDICAL SYSTEMS
Generic NameYELLOFIN STIRRUP
Product CodeEYD
Date Received2009-04-07
Model NumberO-YFASI
Catalog NumberO-YFASI
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerALLEN MEDICAL SYSTEMS
Manufacturer AddressACTON MA 01720 US 01720


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2009-04-07

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