T.H.E. MEDICAL *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2002-06-11 for T.H.E. MEDICAL * manufactured by T.h.e. Medical.

Event Text Entries

[230206] Resident was on lift pad after shower. Pt was up in air when the part to upper body lift pad (strap) ripped. Resident fell to floor, hitting head.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number399199
MDR Report Key399199
Date Received2002-06-11
Date of Event2002-05-06
Date Facility Aware2002-05-06
Report Date2002-05-09
Date Added to Maude2002-06-14
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameT.H.E. MEDICAL
Generic NameCOMBI-SLING
Product CodeILI
Date Received2002-06-11
Model Number*
Catalog Number*
Lot Number*
ID NumberPART# 078-9739
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age1.5 YR
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key388244
ManufacturerT.H.E. MEDICAL
Manufacturer Address526 BYRNE DR BARRIE, ONTARIO CA L4N9P6


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2002-06-11

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