MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 99 report with the FDA on 2010-08-18 for SCALETRONIX 6006 manufactured by Scaletronix Inc..
[1589338]
Resident on scale to obtain weight. While holding onto grab bar, bar came off. Resident lost balance and staff lowered resident to floor.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1807965 |
| MDR Report Key | 1807965 |
| Report Source | 99 |
| Date Received | 2010-08-18 |
| Date of Report | 2010-08-06 |
| Date of Event | 2010-07-19 |
| Date Facility Aware | 2010-07-19 |
| Report Date | 2010-08-06 |
| Date Reported to FDA | 2010-08-06 |
| Date Reported to Mfgr | 2010-08-06 |
| Date Added to Maude | 2010-08-23 |
| 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 | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | SCALETRONIX |
| Generic Name | STANDING/WHEELCHAIR SCALE |
| Product Code | INF |
| Date Received | 2010-08-18 |
| Model Number | 6006 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | NA |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SCALETRONIX INC. |
| Manufacturer Address | 288 CARLTON DR. CAROL STREAM IL 60188 US 60188 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization | 2010-08-18 |