MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1996-01-25 for LAPKO L1300 manufactured by Strive Enterprises.
[19167755]
Right index finger blood blister injury when finger was caught between weight bar and side of machine. Device design issue.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 30662 |
MDR Report Key | 30662 |
Date Received | 1996-01-25 |
Date of Report | 1996-01-25 |
Date of Event | 1995-11-01 |
Date Facility Aware | 1995-11-02 |
Report Date | 1996-01-25 |
Date Reported to FDA | 1995-11-02 |
Date Added to Maude | 1996-03-05 |
Event Key | 0 |
Report Source Code | User Facility report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Reporter Occupation | RISK MANAGER |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | LAPKO |
Generic Name | WEIGHT MACHINE |
Product Code | ISD |
Date Received | 1996-01-25 |
Model Number | L1300 |
Operator | OTHER |
Device Availability | * |
Device Age | * |
Implant Flag | N |
Date Removed | B |
Device Sequence No | 1 |
Device Event Key | 31722 |
Manufacturer | STRIVE ENTERPRISES |
Manufacturer Address | 1375 WASHINGTON RD WASHINGTON PA 15301 US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1996-01-25 |