JB-70

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-11 for JB-70 manufactured by Midmark Corporation.

Event Text Entries

[108495452] On (b)(6) 2018 it was reported to midmark by a dealer technician that an x-ray unit (jb-70, 76" reach 120 v gray, serial (b)(4)) separated from the wall in which it was secured. There were no injuries or contact with any person, as reported by the complainant. The unit mounting was visually inspected at the user facility by the technician and photographs were received by midmark technical service. The technician, after removal of the drywall at the location where the unit was mounted, discovered that the unit has been installed on a 2x4 wood stud. A metal junction box was also seen in the wall. The top lag bolt penetrated the 2x4 stud and caught in the metal plate at the back of the stud, causing the wood to split at the time of installation or over time due to repeat movements of the arm. The wall structure could no longer support the weight of the device; the installation guide was not used as instructed per the installation manual. Additional information obtained from the technician during the call indicates that the system did not undergo periodic operational and safety inspections by a qualified x-ray service organization. The unit was manufactured on 02/05/2014 and was shipped on 12/19/2014. As per follow-up performed on 05/11/2018 the technician re-installed the unit using a two stud mounting kit.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1423380-2018-00003
MDR Report Key7508874
Date Received2018-05-11
Date of Report2018-05-11
Date of Event2018-04-23
Date Mfgr Received2018-04-23
Date Added to Maude2018-05-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationSERVICE PERSONNEL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactADAM FORESMAN
Manufacturer Street675 HEATHROW DRIVE
Manufacturer CityLINCOLNSHIRE IL 60069
Manufacturer CountryUS
Manufacturer Postal60069
Manufacturer Phone2242204329
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameJB-70
Generic NameJB-70
Product CodeEAP
Date Received2018-05-11
Model NumberJB-70
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMIDMARK CORPORATION
Manufacturer Address675 HEATHROW DRIVE LINCOLNSHIRE IL 60069 US 60069


Patients

Patient NumberTreatmentOutcomeDate
10 2018-05-11

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