* 2233HE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-09-11 for * 2233HE manufactured by Midland Manufacturing Co. Inc..

Event Text Entries

[20714701] C5-6 incomplete quadraplegic patient was participating in pt on a tilt table and was standing at 75 degrees. Upon returning to supine position, the tilt table would not go down making it difficult to transfer the patient off tilt table onto a mat. To ultimately return to his power wheel chair, the patient was transferred from this vertical (75 degree) standing posture with multiple therapists holding onto the tilt table to stabilize, and one primary pt holding the front of patient with other therapists assisting patient back into patients power wheelchair. Biomedical equipment taken out of service until repaired.
Patient Sequence No: 1, Text Type: D, B5

MAUDE Entry Details

• Report Number: 3359283
• MDR Report Key: 3359283
• Date Received: 2013-09-11
• Date of Report: 2013-09-11
• Date of Event: 2012-12-12
• Report Date: 2013-09-11
• Date Reported to FDA: 2013-09-11
• Date Reported to Mfgr: 2013-09-20
• Date Added to Maude: 2013-09-20
• 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
• 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

Device Sequence Number: 1

• Brand Name: *
• Generic Name: TABLE, POWERED
• Product Code: INQ
• Date Received: 2013-09-11
• Model Number: 2233HE
• Catalog Number: *
• Lot Number: *
• ID Number: *
• Operator: OTHER
• Device Availability: Y
• Device Age: 12 YR
• Device Sequence No: 1
• Device Event Key: 0
• Manufacturer: MIDLAND MANUFACTURING CO. INC.
• Manufacturer Address: 802 UNIVERSAL DRIVE COLUMBIA SC 29209 US 29209

Device Sequence Number: 2

• Brand Name: *
• Product Code: ---
• Date Received: 2013-09-11
• Device Sequence No: 2
• Device Event Key: 0

Patients

Patient Number	Treatment	Outcome	Date
1	0		2013-09-11