MIDLAND HI-LO ELECTRIC TABLE 6013ED

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2011-11-10 for MIDLAND HI-LO ELECTRIC TABLE 6013ED manufactured by Patterson Medical Holdings.

Event Text Entries

[16922344] The hand control for the hi-lo electric table dropped into the frame of the table as the table was in motion, causing the table stay in motion. As the therapist reached to free the hand control from the moving table, her middle finger was caught between the frame of the table and the hand control creating a pinch point which severed her middle finger off her right hand. She had surgery to reattach the aforementioned digit.
Patient Sequence No: 1, Text Type: D, B5


[17041718] The incident was caused by the hand control falling into the unit and the clinician not removing power to the device prior to removal of the hand control. The clearances in the area around the lift arms where the finger are either under 0. 125 inches or over 1. 0 inches to prevent a scissors type condition. The unit was operating as designed and the failure occurred due to user error. The issue does not require any modifications to prevent re-occurrence of this issue in the future.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1048003-2011-00005
MDR Report Key2384846
Report Source06
Date Received2011-11-10
Date of Report2011-10-25
Date of Event2011-10-24
Date Facility Aware2011-10-25
Report Date2011-11-03
Date Reported to FDA2011-11-09
Date Reported to Mfgr2011-11-09
Date Mfgr Received2011-10-25
Device Manufacturer Date1993-09-01
Date Added to Maude2011-12-23
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer StreetW68 N158 EVERGREEN DR.
Manufacturer CityCEDARBURG WI 53012
Manufacturer CountryUS
Manufacturer Postal53012
Manufacturer Phone2623878724
Manufacturer G1MIDLAND MFG.
Manufacturer Street802 UNIVERSAL DR.
Manufacturer CityCOLUMBIA SC 29209512
Manufacturer CountryUS
Manufacturer Postal Code29209 5120
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMIDLAND HI-LO ELECTRIC TABLE
Product CodeINQ
Date Received2011-11-10
Model Number6013ED
Catalog Number6013ED
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Age18 YR
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerPATTERSON MEDICAL HOLDINGS
Manufacturer AddressBOLINGBROOK IL US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2011-11-10

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