DENTAL CHAIR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-04-03 for DENTAL CHAIR manufactured by Aseptico.

Event Text Entries

[104422551] While pt was siting in dental chair the dental chair broke, and the pt fell. Myself, other staff and 2 other spectators went to her aid to help her up off of the floor. At that time the pt stated that she was having lower back pain. Later that afternoon i called pt to check on her to see how she was doing and pt was in a lot of pain. Her children were there at the time trying to make her seek medical attention. Pt took pain meds and put on pain cream but nothing would stop the pain. I plan to do a f/u call tomorrow to check on the pt.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5076279
MDR Report Key7395277
Date Received2018-04-03
Date of Report2018-03-30
Date of Event2018-03-29
Date Added to Maude2018-04-04
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameDENTAL CHAIR
Generic NameDENTAL CHAIR
Product CodeNRU
Date Received2018-04-03
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerASEPTICO


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-04-03

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