MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,07 report with the FDA on 2012-11-21 for MIDMARK 625-001 manufactured by Midmark Corp..
[16916204]
A pt was on the table when it fell to the floor. No injuries were reported.
Patient Sequence No: 1, Text Type: D, B5
[16929074]
Examination of similar events indicates an obstruction was under the table and the table was lowered onto it. When the table was lowered, the obstruction was pinched between the base of the table and the drawer until the pressure increased to the point that the obstruction moved. At that time, the table dropped a few inches very quickly causing the cladding to break free and fall. This process is described in the products user? S guide. Failure to correctly look for obstructions under the table can result in the type of damage seen with this table.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 1523530-2012-00029 |
| MDR Report Key | 2890864 |
| Report Source | 06,07 |
| Date Received | 2012-11-21 |
| Date of Report | 2012-11-20 |
| Date of Event | 2012-10-24 |
| Date Mfgr Received | 2012-10-24 |
| Device Manufacturer Date | 2011-09-01 |
| Date Added to Maude | 2013-03-01 |
| 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 | CRAIG RAMMEL |
| Manufacturer Street | 60 VISTA DR. P.O. BOX 286 |
| Manufacturer City | VERSAILLES OH 45380 |
| Manufacturer Country | US |
| Manufacturer Postal | 45380 |
| Manufacturer Phone | 9375263662 |
| Manufacturer G1 | MIDMARK CORP. |
| Manufacturer Street | 60 VISTA DR. P.O. BOX 286 |
| Manufacturer City | VERSAILLES OH 45380 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 45380 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | MIDMARK |
| Generic Name | CHAIR, SURGICAL, AC-POWERED |
| Product Code | GBB |
| Date Received | 2012-11-21 |
| Model Number | 625-001 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MIDMARK CORP. |
| Manufacturer Address | 60 VISTA DR. P.O. BOX 286 VERSAILLES OH 45380 US 45380 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2012-11-21 |