MINOR SURGERY STRETCHER 678000 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1997-12-12 for MINOR SURGERY STRETCHER 678000 * manufactured by Hausted.

Event Text Entries

[76435] Pt was placed on a surgical cart in a moderate trendelendburg position. The physician experienced some difficulty in performing the procedure during surgery. The physician noted the cart had changed position from the initial setting (after the procedure). Pt required more time in the or & may need add'l retinal surgery to improve pt's eye sight.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number138328
MDR Report Key138328
Date Received1997-12-12
Date of Report1997-12-10
Date of Event1997-12-01
Date Facility Aware1997-12-01
Report Date1997-12-10
Date Reported to FDA1997-12-12
Date Reported to Mfgr1997-12-12
Date Added to Maude1997-12-18
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
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 Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameMINOR SURGERY STRETCHER
Generic NameOR./CATARACT CART
Product CodeFWW
Date Received1997-12-12
Model Number678000
Catalog Number*
Lot Number*
ID Number*
Device AvailabilityY
Device Age9 YR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key135089
ManufacturerHAUSTED
Manufacturer Address927 LAKE RD. MEDINA OH 442580710 US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1997-12-12

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