MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2005-10-07 for AMSCO 3080RC/RL SURGICAL TABLE 2175655 manufactured by Steris Corporation.
| Report Number | 1043572-2005-00008 |
| MDR Report Key | 643428 |
| Report Source | 06 |
| Date Received | 2005-10-07 |
| Date of Report | 2005-10-06 |
| Date of Event | 2005-09-07 |
| Date Mfgr Received | 2005-09-28 |
| Device Manufacturer Date | 1988-01-01 |
| Date Added to Maude | 2005-11-01 |
| 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 | ROBERT MCCALL |
| Manufacturer Street | 2720 GUNTER PARK DR EAST |
| Manufacturer City | MONTGOMERY AL 36109 |
| Manufacturer Country | US |
| Manufacturer Postal | 36109 |
| Manufacturer Phone | 3342133150 |
| Manufacturer G1 | STERIS CORPORATION - MONTGOMERY |
| Manufacturer Street | 2720 GUNTER PARK DR EAST |
| Manufacturer City | MONTGOMERY AL 36109 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 36109 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | AMSCO 3080RC/RL SURGICAL TABLE |
| Generic Name | SURGICAL TABLES AND ACCESSORIES |
| Product Code | FSE |
| Date Received | 2005-10-07 |
| Model Number | 3080RC |
| Catalog Number | 2175655 |
| Lot Number | NA |
| ID Number | BE58-731 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | 17 YR |
| Device Eval'ed by Mfgr | R |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 632936 |
| Manufacturer | STERIS CORPORATION |
| Manufacturer Address | 2720 GUNTER PARK EAST MONTGOMERY AL 36109 US |
| Baseline Brand Name | AMSCO 3080RC/RL SURGICAL TABLE |
| Baseline Generic Name | SURGICAL TABLES AND ACCESSORIES |
| Baseline Model No | 3080RC |
| Baseline Catalog No | 21`75655 |
| Baseline ID | BE58-731 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2005-10-07 |