MOBILE MEDICATION CART 1781745

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-06-03 for MOBILE MEDICATION CART 1781745 manufactured by Rubbermaid Healthcare.

Event Text Entries

[5906683] Base of mobile medication cart started smoking and filling hosp hallway which prompted called the fire dept. Flames were also noted prior to using a fire extinguisher. Hosp clinical engineering indicated that some components in the power supply appeared to be burnt.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5042973
MDR Report Key4833678
Date Received2015-06-03
Date of Report2015-05-21
Date of Event2015-05-16
Date Added to Maude2015-06-10
Event Key0
Report Source CodeVoluntary 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 FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameMOBILE MEDICATION CART
Generic NameWORK STATION ON WHEELS (WOW CART)
Product CodeBRY
Date Received2015-06-03
Model Number1781745
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device Sequence No1
Device Event Key0
ManufacturerRUBBERMAID HEALTHCARE
Manufacturer Address16905 NORTHEROSS DR, STE 120 HUNTERVILLE NC 28078 US 28078


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2015-06-03

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