VEINVIEWER MODEL GS, VERSION 1.1 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-03-14 for VEINVIEWER MODEL GS, VERSION 1.1 * manufactured by Christie Medical.

Event Text Entries

[21407955] User report: "i was using the vein finder to find a vein. I pushed it away to move around. I reached to pull the vein finder closer by it's arm, and the entire unit tipped over. I moved under it to catch it. I caught it with my right neck, shoulder. If i had not have caught it, it would have crushed the (b)(6) infant on the bed. Understandably, the family was disturbed. I was disturbed. Charge nurse was also at bedside and helped to calm the parents. "during evaluation of the unit, it was found that if the arm is fully extended to the side and the casters are swiveled in the unfavorable orientation, the unit is very easy to tip over.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2020194
MDR Report Key2020194
Date Received2011-03-14
Date of Report2011-03-14
Date of Event2011-03-05
Report Date2011-03-14
Date Reported to FDA2011-03-14
Date Added to Maude2011-03-16
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 NameVEINVIEWER
Generic NameVEIN VIEWER
Product CodeKZA
Date Received2011-03-14
Model NumberMODEL GS, VERSION 1.1
Catalog Number*
Lot Number*
ID Number*
OperatorPHYSICIAN
Device AvailabilityY
Device Age2 YR
Device Sequence No1
Device Event Key0
ManufacturerCHRISTIE MEDICAL
Manufacturer Address1256 UNION AVENUE MEMPHIS TN 38104 US 38104


Patients

Patient NumberTreatmentOutcomeDate
10 2011-03-14

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