MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,07 report with the FDA on 2011-11-22 for HUT EXT DR FINAL ASSY-REVERSE 404007 manufactured by Liebel-flarsheim Co..
[2460855]
On (b)(6) 2011: customer reports via phone during an unknown procedure when moving the table top with the footpedal, the footpedal got stuck and the table moved completely to the foot end of the table and stopped. The staff was then able to move the table to where the physician wanted and the procedure was completed with no further incident. No reported injury.
Patient Sequence No: 1, Text Type: D, B5
[9567595]
Field service engineer (fse) troubleshot table movement problem to a broken cross pedal on the footswitch. Fse replaced the footswitch and verified proper operation according to hut service checklist, and returned the system to full service.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 1518293-2011-00229 |
| MDR Report Key | 2363046 |
| Report Source | 06,07 |
| Date Received | 2011-11-22 |
| Date of Report | 2011-11-08 |
| Date of Event | 2011-11-08 |
| Date Mfgr Received | 2011-11-08 |
| Device Manufacturer Date | 2009-08-01 |
| Date Added to Maude | 2012-07-18 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| 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 | 0 |
| Event Location | 0 |
| Manufacturer Contact | DAVID BENSON |
| Manufacturer Street | 2111 EAST GALBRAITH RD. |
| Manufacturer City | CINCINNATI OH 45237 |
| Manufacturer Country | US |
| Manufacturer Postal | 45237 |
| Manufacturer Phone | 5139485719 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | HUT EXT DR FINAL ASSY-REVERSE |
| Generic Name | UROLOGY SUITE |
| Product Code | KQS |
| Date Received | 2011-11-22 |
| Model Number | HUT EXT DR |
| Catalog Number | 404007 |
| Lot Number | NA |
| ID Number | NA |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | LIEBEL-FLARSHEIM CO. |
| Manufacturer Address | 2111 EAST GALBRAITH RD. CINCINNATI OH 45237 US 45237 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2011-11-22 |