MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-01-11 for ELECTRI CORD manufactured by Electri Cord Mfg Co.
[1816124]
Power cord started electrical fire in a hospital work room. The fire occurred over a weekend. No harm to patients or staff. The hospital did receive a recall from fresenius regarding power cord, however, further investigation demonstrates that this cord appears on many pieces of equipment in the hospital, not just medical equipment.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5018998 |
| MDR Report Key | 1963651 |
| Date Received | 2011-01-11 |
| Date of Report | 2011-01-11 |
| Date of Event | 2010-11-15 |
| Date Added to Maude | 2011-01-19 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ELECTRI CORD |
| Generic Name | POWER CORD |
| Product Code | MPD |
| Date Received | 2011-01-11 |
| Operator | OTHER |
| Device Availability | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ELECTRI CORD MFG CO |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2011-01-11 |