MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-09-27 for PHOENIX 1850 * manufactured by The Furniss Corporation Ltd.
[17156164]
The large power supply will often fall from its storage position and also the wall outlet and become damaged. Because it is so heavy, the small amount of velcro that holds them in place while in storage, it easily falls off. Because of the weight of the power supply it often falls out of the wall outlet.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3428863 |
| MDR Report Key | 3428863 |
| Date Received | 2013-09-27 |
| Date of Report | 2012-09-20 |
| Date of Event | 2012-08-21 |
| Report Date | 2012-09-20 |
| Date Reported to FDA | 2013-09-27 |
| Date Reported to Mfgr | 2013-10-25 |
| Date Added to Maude | 2013-10-25 |
| 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 | 3 |
| 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 | PHOENIX 1850 |
| Generic Name | EXERCISER, POWERED |
| Product Code | BXB |
| Date Received | 2013-09-27 |
| Model Number | PHOENIX 1850 |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Device Availability | Y |
| Device Age | 4 YR |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | THE FURNISS CORPORATION LTD |
| Manufacturer Address | 3350 URBANCREST INDUSTRIAL DRI GROVE CITY OH 43123 US 43123 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2013-09-27 |