D
Patient 1
FACILITY CLAIMS TABLE UNINTENTIONALLY MOVED. NO INJURIES OCCURRED.
MAUDE MDR 3739035
- MDR report key
- 3739035
- Report number
- 1523530-2014-00005
- Event key
- 0
- Event type
- 3
- Date of event
- 2014-02-11
- Date received
- 2014-03-08
- Adverse event
- 3
- Product problem
- 3
- Patients in event
- 0
- Reporter occupation
- 0
- Health professional
- 3
- Initial report to FDA
- 3
- Event location
- 0
Manufacturer Contact#
- Contact
- CRAIG RAMMEL
- Address
- 60 VISTA DR. VERSAILLES OH 45380 US
- Phone
- 937-937-9375
- Report source
- M
- Manufacturer link flag
- Y
Devices#
| Seq | Brand | Generic | Manufacturer | Product code | Model | Catalog | Lot | PMA | 510(k) | Implant | Evaluated | Availability |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | RITTER | EXAMINATION TABLE | MIDMARK CORP. | LGX | 222-016 | R | N |
Patients#
| Sequence | Received | Treatment | Outcome |
|---|---|---|---|
| 1 | 2014-03-08 | 0 |
Event Narratives#
N
Patient 1
THE PRODUCT IS NOT BEING RETURNED FOR FURTHER EVALUATION. PRODUCT WAS EVALUATED ON SITE BY SERVICE PROVIDER. THEY COULD NOT FIND ISSUE WITH THE PRODUCT. NO DAMAGE TO THE UNIT WAS FOUND. FUNCTION TESTING WAS PERFORMED TO ENSURE OPERATION OF UP/DOWN FEATURES. NO MISALIGNMENT WAS FOUND. IT WAS ALSO NOTED THAT A DRAWER WAS IN A POSITION THAT COULD HAVE CAUSED INTERFERENCE. CAUTION IS NOTED FOR THIS CONDITION IN THE USER MANUAL STATING: "BE SURE THAT ALL PERSONNEL AND EQUIPMENT ARE CLEAR OF THE TABLE BEFORE ACTIVATING ANY FUNCTION. FAILURE TO DO SO COULD RESULT IN PERSONAL INJURY."