MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-05-18 for LIONVILLE 800 * manufactured by Intermetro Industries Corp..
[1402001]
Ups battery charging power supply not consistently charging batteries. Found charred intermittent connector in wiring harness. ====================== manufacturer response for medication cart, lionville======================manufacturer has provided replacement parts.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1705128 |
| MDR Report Key | 1705128 |
| Date Received | 2010-05-18 |
| Date of Report | 2010-04-23 |
| Date of Event | 2010-04-19 |
| Report Date | 2010-04-23 |
| Date Reported to FDA | 2010-05-18 |
| Date Added to Maude | 2010-06-01 |
| 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 |
| 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 | LIONVILLE |
| Generic Name | MEDICATION CART |
| Product Code | NXB |
| Date Received | 2010-05-18 |
| Returned To Mfg | 2010-04-22 |
| Model Number | 800 |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Device Availability | R |
| Device Age | 2 YR |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | INTERMETRO INDUSTRIES CORP. |
| Manufacturer Address | 651 NORTH WASHINGTON STREET WILKES BARRE PA 18705 US 18705 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2010-05-18 |