HUT EXT DR FINAL ASSY-STANDARD 404008

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06,07 report with the FDA on 2012-02-14 for HUT EXT DR FINAL ASSY-STANDARD 404008 manufactured by Liebel-flarsheim Co..

Event Text Entries

[19874624] On (b)(6): customer reports via phone that staff were performing a lithotripsy, stent removal and stent placement on an approximately (b)(6), under general anesthesia, when fluoro failed. Staff moved the patient onto another table and completed the procedure using a portable c-arm fluoro unit. Patient is fine. No reported injury.
Patient Sequence No: 1, Text Type: D, B5


[20277072] Product monitoring follow up: hospital staff stated they had used a large amount of sheets to absorb fluid under the urology table and hit the splash crash guard micro switches. Once the staff removed all the sheets from under the table, reset the splash crash guard switches, and rebooted the system, all urology table functions returned and they have experienced no further issues with the urology table.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1518293-2012-00030
MDR Report Key2462723
Report Source05,06,07
Date Received2012-02-14
Date of Report2012-02-14
Date of Event2012-01-25
Date Mfgr Received2012-01-25
Device Manufacturer Date2010-01-01
Date Added to Maude2012-08-16
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactDAVID BENSON
Manufacturer Street2111 EAST GALBRAITH RD.
Manufacturer CityCINCINNATI OH 45237
Manufacturer CountryUS
Manufacturer Postal45237
Manufacturer Phone5139485719
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHUT EXT DR FINAL ASSY-STANDARD
Product CodeKQS
Date Received2012-02-14
Model NumberHUT EXT DR
Catalog Number404008
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerLIEBEL-FLARSHEIM CO.
Manufacturer Address2111 EAST GALBRAITH RD. CINCINNATI OH 45237 US 45237


Patients

Patient NumberTreatmentOutcomeDate
10 2012-02-14

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