VAX D *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2004-10-22 for VAX D * manufactured by Unk.

Event Text Entries

[17021461] Pt recently had a vax d treatment. Pt was strapped into safety belt and a shoulder collar and laid on machine the machine turned on. Pt suffered a severe shooting pain and had no way to shut down the machine and the dr had left the room. Pt was in pain for another 5-10 mins till he returned. Pt suffered severe pain on way home and still feels the pain but it has lessened some. Point is there should be a emergency stop within the reach of the pt should any emergency arise, shouting pain or even a cardiac emergency could happen. How hard would it be to have a panic stop next to pt's hand. Pt feels this modification should be done right away. There is up to 80 lbs of pressure on a pt when something bad could happen. Drs are distracted by phone calls, other pts or even a bathroom break and pt is strapped to a machine in possible harmful pain.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW4003835
MDR Report Key563576
Date Received2004-10-22
Date Added to Maude2005-01-07
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameVAX D
Generic Name*
Product CodeITH
Date Received2004-10-22
Model Number*
Catalog Number*
Lot Number*
ID Number*
Device Availability*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key553305
ManufacturerUNK
Manufacturer AddressUNK UNK *


Patients

Patient NumberTreatmentOutcomeDate
10 2004-10-22

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