MIDLAND BARIATRIC STAND-IN TABLE 554512E

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-11-09 for MIDLAND BARIATRIC STAND-IN TABLE 554512E manufactured by Patterson Medical.

Event Text Entries

[30708612]
Patient Sequence No: 1, Text Type: N, H10


[30708613] Human factors issue with midland mfg co electric bariatric stand-in table. Dr was called to evaluate patient in the therapy gym. Patient was standing with therapist using a steadying platform. Her right great toe was underneath the platform, and when she went to move it, the proximal half of her great toe nail was sheared off. There was at first significant bleeding, however, with compression by nursing and therapist, this resolved. When dr came to examine the nail, there was clearly blood present, however, active bleeding appeared to have ceased for the time being. The distal half of the nail was still intact, though looked friable. No signs of infection. Continued monitoring. Pain is controlled. Clinical engineering recommendation is to have patients wear shoes when using the table and to paint/tape the base of the table where patients put their feet to be careful of the gap that exists and not to inadvertently hurt their toe(s).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number5210411
MDR Report Key5210411
Date Received2015-11-09
Date of Report2015-10-29
Date of Event2015-09-19
Report Date2015-10-29
Date Reported to FDA2015-10-29
Date Reported to Mfgr2015-10-29
Date Added to Maude2015-11-09
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. ROCCO OTTOLINO
Manufacturer Street3601 W 13 MILE ROAD
Manufacturer CityROYAL OAK MI 480736769
Manufacturer CountryUS
Manufacturer Postal480736769
Manufacturer Phone2485510550
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMIDLAND BARIATRIC STAND-IN TABLE
Generic Namepowered table
Product CodeINQ
Date Received2015-11-09
Model Number554512E
Device AvailabilityY
Device Age4 YR
Device Eval'ed by MfgrR
Device Sequence No0
Device Event Key0
ManufacturerPATTERSON MEDICAL
Manufacturer AddressW68 N158 EVERGREEN BLVD. CEDARBURG WI 53012 US 53012


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-11-09

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