MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2005-03-01 for HYDRAJUST UROLOGY TABLE * 404002 manufactured by Liebel-flarsheim Co..
[16363737]
Customer reports that the table tilted and lowered all by itself. It tilted head end up first then it lowered down causing bovie shelf to lower on the foot stool used by the doctor. The problem could not be duplicated. Saw stool stuck by bovie shelf with foot control next to foot control pedals. Pts fingers were pinched.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1518293-2005-00003 |
| MDR Report Key | 577712 |
| Report Source | 07 |
| Date Received | 2005-03-01 |
| Date of Report | 2005-01-31 |
| Date of Event | 2005-01-28 |
| Date Mfgr Received | 2005-01-31 |
| Date Added to Maude | 2005-03-04 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| 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 | 0 |
| Manufacturer Contact | DAVE BENSON |
| Manufacturer Street | 2111 E. GALBRAITH RD. |
| Manufacturer City | CINCINNATI OH 45237 |
| Manufacturer Country | US |
| Manufacturer Postal | 45237 |
| Manufacturer Phone | 5139485719 |
| Manufacturer G1 | * |
| Manufacturer Street | * |
| Manufacturer City | * |
| Manufacturer Country | * |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | HYDRAJUST UROLOGY TABLE |
| Generic Name | UROLOGY TABLE |
| Product Code | MMZ |
| Date Received | 2005-03-01 |
| Model Number | * |
| Catalog Number | 404002 |
| Lot Number | NA |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | Y |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 567552 |
| Manufacturer | LIEBEL-FLARSHEIM CO. |
| Manufacturer Address | 2111 EAST GALBRAITH RD. CINCINNATI OH 45237 US |
| Baseline Brand Name | HYDRAJUST UROLOGY TABLE |
| Baseline Generic Name | UROLOGY TABLE |
| Baseline Model No | * |
| Baseline Catalog No | 404002 |
| Baseline ID | * |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2005-03-01 |