MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1996-02-16 for STANDING TABLE manufactured by Unknown.
[15008200]
Pt using standing table. Pt states he slipped or slid to the ground. Pt seen by attending physician. No apparent trauma to the head.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1008373 |
| MDR Report Key | 30316 |
| Date Received | 1996-02-16 |
| Date of Report | 1996-01-20 |
| Date of Event | 1996-01-18 |
| Date Added to Maude | 1996-02-22 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | STANDING TABLE |
| Generic Name | STANDING TABLE |
| Product Code | JFB |
| Date Received | 1996-02-16 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | * |
| Implant Flag | N |
| Date Removed | B |
| Device Sequence No | 1 |
| Device Event Key | 31398 |
| Manufacturer | UNKNOWN |
| Manufacturer Address | * |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 1996-02-16 |