ALLEN MEDICAL SYSTEMS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-03-18 for ALLEN MEDICAL SYSTEMS manufactured by Allen Medical Systems.

Event Text Entries

[1292435] Patient was in a left lateral position for a procedure, with the left arm secured to the armboard. At some undetermined point in the procedure, the armboard became detached from the table. This was noted at the end of the procedure while the drapes were being removed. The armboard was still attached to the patient's arm by the soft safety strap. The safety strap caused the armboard to remain attached and pull the arm in a downward direction, hyper extending the elbow. No bruising noted, slight amount of redness noted.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5015232
MDR Report Key1638229
Date Received2010-03-18
Date of Report2010-03-18
Date of Event2010-03-15
Date Added to Maude2010-03-26
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameALLEN MEDICAL SYSTEMS
Generic NamePATIENT POSITIONING ARM BOARD
Product CodeBTX
Date Received2010-03-18
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerALLEN MEDICAL SYSTEMS
Manufacturer AddressONE POST OFFICE SQUARE ACTON MA 01720 US 01720


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2010-03-18

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