* 308S

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2001-08-27 for * 308S manufactured by Amsco/steris.

Event Text Entries

[16821689] The pt was being raised on the o. R. Table when upper sheet metal shroud stuck under the lower shroud causing the base at the table to lift. The staff were concerned the table was unsafe to continue surgery.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1022717
MDR Report Key349455
Date Received2001-08-27
Date of Report2001-08-27
Date of Event2001-08-22
Date Added to Maude2001-09-04
Event Key0
Report Source CodeVoluntary 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 FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameOR TABLE
Product CodeFSE
Date Received2001-08-27
Model Number308S
Catalog Number*
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key338755
ManufacturerAMSCO/STERIS
Manufacturer Address5960 HEISLEY RD MENTOR OH 44060 US
Baseline Brand Name*
Baseline Generic NameOR TABLE
Baseline Model No308S
Baseline Catalog No*
Baseline ID*


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2001-08-27

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