FDA.reportPublic FDA data

MAUDE MDR 4833678

MDR report key
4833678
Report number
MW5042973
Event key
0
Event type
3
Date of event
2015-05-16
Date received
2015-06-03
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#

Report source
P
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1MOBILE MEDICATION CARTWORK STATION ON WHEELS (WOW CART)RUBBERMAID HEALTHCAREBRY1781745NA

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12015-06-0301. R

Event Narratives#

D

Patient 1

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.