MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00,05,06 report with the FDA on 1998-06-19 for MULTIPOISE HEADREST BF03-800 manufactured by .
| Report Number | 1043572-1998-00007 |
| MDR Report Key | 173778 |
| Report Source | 00,05,06 |
| Date Received | 1998-06-19 |
| Date of Event | 1998-05-21 |
| Date Mfgr Received | 1998-05-26 |
| Date Added to Maude | 1998-06-25 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 0 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 3 |
| Event Location | 0 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | MULTIPOISE HEADREST |
| Generic Name | HEADREST, NEUROLOGICAL |
| Product Code | HBM |
| Date Received | 1998-06-19 |
| Model Number | NA |
| Catalog Number | BF03-800 |
| Lot Number | NA |
| ID Number | NA |
| Device Eval'ed by Mfgr | N |
| Implant Flag | N |
| Date Removed | A |
| Device Sequence No | 1 |
| Device Event Key | 164120 |
| Baseline Brand Name | MULTIPOISE HEADREST |
| Baseline Generic Name | HEARREST, NEUROLOGICAL |
| Baseline Model No | NA |
| Baseline Catalog No | BF03-800 |
| Baseline ID | NA |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1998-06-19 |