MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2003-12-03 for SKYTRON 21917 * manufactured by Skytron.
[18558309]
Patient was in or suite for colectomy. The or table was being raised into the lithotomy position when the nurse noticed the electrical cord was on fire.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 499485 |
| MDR Report Key | 499485 |
| Date Received | 2003-12-03 |
| Date of Event | 2003-10-15 |
| Date Facility Aware | 2003-10-16 |
| Date Added to Maude | 2003-12-09 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | SKYTRON |
| Generic Name | OR BED (HYDRAULIC) EE21917 |
| Product Code | FWY |
| Date Received | 2003-12-03 |
| Model Number | 21917 |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | 7.5 YR |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 488260 |
| Manufacturer | SKYTRON |
| Manufacturer Address | 5000 36TH ST S.E. GRAND RAPIDS MI 49512 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2003-12-03 |