OPERATING ROOM TABLE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1992-07-31 for OPERATING ROOM TABLE manufactured by American Sterilizer Company.

Event Text Entries

[3156] An operating room table, moved during a surgical procedure, despite being locked in place pre-operatively. L the table was re-locked, but continued to move when leaned uponinvalid data - regarding single use labeling of device. Patient medical status prior to event: invalid data. Invalid data - regarding multiple patient involvement. Invalid data - on device service/maintenance. No data - regarding date last serviced. Service provided by: invalid data. Invalid data - service records availability. No imminent hazard to public health claimed. Device used as labeled/intended. Device was evaluated after the event. Method of evaluation: actual device involved in incident was evaluated, performance tests performed, visual examination. Results of evaluation: invalid data. Conclusion: invalid data. Certainty of device as cause of or contributor to event: invalid data. Corrective actions: device repaired and put back in service. Invalid data - on device destroyed/disposed of status.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number4797
MDR Report Key4797
Date Received1992-07-31
Date of Report1992-03-04
Date of Event1992-02-03
Date Facility Aware1992-02-03
Report Date1992-03-04
Date Reported to Mfgr1992-03-04
Date Added to Maude1993-06-07
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 Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Generic NameOPERATING ROOM TABLE
Product CodeFSE
Date Received1992-07-31
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityN
Implant Flag*
Device Sequence No1
Device Event Key4513
ManufacturerAMERICAN STERILIZER COMPANY


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1992-07-31

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