HYDRAJUST UROLOGY TABLE * 404002

MAUDE Adverse Event Report

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..

Event Text Entries

[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


MAUDE Entry Details

Report Number1518293-2005-00003
MDR Report Key577712
Report Source07
Date Received2005-03-01
Date of Report2005-01-31
Date of Event2005-01-28
Date Mfgr Received2005-01-31
Date Added to Maude2005-03-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactDAVE BENSON
Manufacturer Street2111 E. GALBRAITH RD.
Manufacturer CityCINCINNATI OH 45237
Manufacturer CountryUS
Manufacturer Postal45237
Manufacturer Phone5139485719
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHYDRAJUST UROLOGY TABLE
Generic NameUROLOGY TABLE
Product CodeMMZ
Date Received2005-03-01
Model Number*
Catalog Number404002
Lot NumberNA
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key567552
ManufacturerLIEBEL-FLARSHEIM CO.
Manufacturer Address2111 EAST GALBRAITH RD. CINCINNATI OH 45237 US
Baseline Brand NameHYDRAJUST UROLOGY TABLE
Baseline Generic NameUROLOGY TABLE
Baseline Model No*
Baseline Catalog No404002
Baseline ID*


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2005-03-01

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