UMF MEDICAL 5016

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,07 report with the FDA on 2012-03-02 for UMF MEDICAL 5016 manufactured by United Metal Fabricators, Inc..

Event Text Entries

[18181255] The chair's leg section was rotated in the out position. Obese pt attempted to access the chair, lost her balance, and hit her calf against the leg section, causing a cut. The pt received stitches to close the cut.
Patient Sequence No: 1, Text Type: D, B5


[18204572] Images of the leg section were received and evaluated. A repair team was immediately sent to remove any sharp edge. Further action was immediately undertaken to ensure that any potential for a sharp edge was eliminated from the product design.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2518399-2012-00001
MDR Report Key2482472
Report Source05,07
Date Received2012-03-02
Date of Report2012-02-02
Date of Event2012-02-02
Date Mfgr Received2012-02-02
Device Manufacturer Date2009-11-01
Date Added to Maude2012-03-08
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 Street1316 EISENHOWER BLVD.
Manufacturer CityJOHNSTOWN PA 15904
Manufacturer CountryUS
Manufacturer Postal15904
Manufacturer Phone8142668726
Single Use3
Remedial ActionRP
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUMF MEDICAL
Generic NamePODIATRY CHAIR
Product CodeINQ
Date Received2012-03-02
Model Number5016
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerUNITED METAL FABRICATORS, INC.
Manufacturer AddressJOHNSTOWN PA US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2012-03-02

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