WINSTED *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2000-11-27 for WINSTED * manufactured by Winsted Corp.

Event Text Entries

[199738] Cart was used to hold video monitor. While moving the cart, one of the back wheels fell off. Nurse tried to stop the video monitor from crashing to the floor. This resulted in blunt trauma to both feet with abrasions to both shins and injury to two fingers on the right hand.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number306492
MDR Report Key306492
Date Received2000-11-27
Date of Report2000-11-22
Date of Event2000-11-01
Date Facility Aware2000-11-01
Report Date2000-11-22
Date Added to Maude2000-12-01
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameWINSTED
Generic NameCART
Product CodeLDQ
Date Received2000-11-27
Model Number*
Catalog Number*
Lot Number*
ID NumberC9292
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key296599
ManufacturerWINSTED CORP
Manufacturer Address10901 HAMPSHIRE AVE S MINNEAPOLIS MN 55438 US


Patients

Patient NumberTreatmentOutcomeDate
111. Other 2000-11-27

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