*

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2000-02-07 for * manufactured by *.

Event Text Entries

[147424] Pt's head slipped in the 3 points mayfield headholder as repositioned from supine to prone.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number261066
MDR Report Key261066
Date Received2000-02-07
Date of Report2000-02-07
Date of Event2000-01-26
Date Facility Aware2000-02-03
Report Date2000-02-07
Date Reported to FDA2000-02-07
Date Added to Maude2000-02-08
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 Name*
Generic NameMAYFIELD HEADHOLDER
Product CodeHBM
Date Received2000-02-07
Model Number*
Catalog Number*
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key252842
Manufacturer*
Manufacturer Address* * *


Patients

Patient NumberTreatmentOutcomeDate
10 2000-02-07

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