LIONVILLE 800 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-10-05 for LIONVILLE 800 * manufactured by Intermetro Industries Corp..

Event Text Entries

[1770061] Medication cart power supply battery harness connectors overheat and fail. ====================== manufacturer response for medication cart with computer and ups, lionville======================problem has occurred on several medication carts. The manufacturer replaced batteries and power supplies on several.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1863409
MDR Report Key1863409
Date Received2010-10-05
Date of Report2010-09-30
Date of Event2010-09-27
Report Date2010-09-30
Date Reported to FDA2010-10-05
Date Added to Maude2010-10-10
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 NameLIONVILLE
Generic NameMEDICATION CART WITH COMPUTER AND UPS
Product CodeNXB
Date Received2010-10-05
Model Number800
Catalog Number*
Lot Number*
ID Number*
Device AvailabilityY
Device Age2 YR
Device Sequence No1
Device Event Key0
ManufacturerINTERMETRO INDUSTRIES CORP.
Manufacturer Address1101 N. WASHINGTON ST. WILKES-BARRE PA 18705 US 18705


Patients

Patient NumberTreatmentOutcomeDate
10 2010-10-05

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