WALKAWAY 96 PLUS B1018-284

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-06-27 for WALKAWAY 96 PLUS B1018-284 manufactured by Siemens Healthcare Diagnostics.

Event Text Entries

[20326703] It was reported that the bottom hinge of the walkaway plus access door failed. The spring disengaged from its pin and lodged behind the hinge spring pin. The top hinge was operational. No report of adverse event or injury.
Patient Sequence No: 1, Text Type: D, B5


[20570061] (b)(4) - product quality issue associated with an inherent device and/or device component characteristic that is not satisfactory as specific or delivered. Siemens healthcare diagnostics inc. Conducted a field correction, internal number (b)(4). A written customer notification was sent on 06/2014 to all customers affected notifying them of the springs contained in the access door hinge assembly on the walkaway plus instruments are becoming detached causing premature failure of the hinge assembly and a potential safety issue fort the customer. The notification also includes actions to be taken by customers. The fda san francisco district office was notified on 06/09/2014 of the remedial action (report no. 2919016-06/09/14-001-c). A siemens representative will contact the customer over the next few months to schedule a visit to correct this issue with the access door hinge.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2919016-2014-00027
MDR Report Key3960853
Date Received2014-06-27
Date of Report2014-05-28
Date of Event2014-03-28
Date Added to Maude2014-08-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer Street2040 ENTERPRISE BLVD.
Manufacturer CityWEST SACRAMENTO CA 95691
Manufacturer CountryUS
Manufacturer Postal95691
Manufacturer G1DADE BEHRING, INC.
Manufacturer Street2040 ENTERPRISE BLVD.
Manufacturer CityWEST SACRAMENTO CA 95691
Manufacturer CountryUS
Manufacturer Postal Code95691
Single Use3
Remedial ActionNO
Previous Use Code3
Removal Correction Number2919016-06/09/14-001-C
Event Type3
Type of Report3

Device Details

Brand NameWALKAWAY 96 PLUS
Generic NameWALKAWAY 96 PLUS
Product CodeLRG
Date Received2014-06-27
Catalog NumberB1018-284
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS
Manufacturer AddressWEST SACRAMENTO CA US


Patients

Patient NumberTreatmentOutcomeDate
10 2014-06-27

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