MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-08-20 for H140-10-5 manufactured by Rice Lake Weighing Systems.
[23564958]
Patient Sequence No: 1, Text Type: N, H10
[23564959]
Patient weighed before surgery. Patient's wool sweater touched the metal height bar. The rice lake standing scale made a loud spark and had some white smoke. Then the rice lake standing scale turned off. When the nurse turned it back on it had lines "slop". The patient did not sustain any injury.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 5018057 |
| MDR Report Key | 5018057 |
| Date Received | 2015-08-20 |
| Date of Report | 2015-06-24 |
| Date of Event | 2015-02-20 |
| Report Date | 2015-06-24 |
| Date Reported to FDA | 2015-06-24 |
| Date Reported to Mfgr | 2015-06-24 |
| Date Added to Maude | 2015-08-20 |
| 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 | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Generic Name | SCALE, STAND-ON, PATIENT |
| Product Code | FRI |
| Date Received | 2015-08-20 |
| Model Number | H140-10-5 |
| Operator | NURSE |
| Device Availability | Y |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | RICE LAKE WEIGHING SYSTEMS |
| Manufacturer Address | 230 W. COLEMAN STREET RICE LAKE WI 54868 US 54868 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2015-08-20 |