* 60362

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2005-06-22 for * 60362 manufactured by Medical Positioning Inc..

Event Text Entries

[497136] New pain management table broke when patient was lying on it. It is supposed to hold up to 500lbs.
Patient Sequence No: 1, Text Type: D, B5

MAUDE Entry Details

• Report Number: MW1035847
• MDR Report Key: 753055
• Date Received: 2005-06-22
• Date of Report: 2005-06-13
• Date of Event: 2005-06-06
• Date Added to Maude: 2006-08-23
• Event Key: 0
• Report Source Code: Voluntary report
• Manufacturer Link: N
• 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: 3
• Single Use: 0
• Previous Use Code: 0
• Event Type: 3
• Type of Report: 3

Device Sequence Number: 1

• Brand Name: *
• Generic Name: PHYSICAL MEDICINE PRODUCTS
• Product Code: JFB
• Date Received: 2005-06-22
• Model Number: 60362
• Catalog Number: *
• Lot Number: *
• ID Number: *
• Device Availability: N
• Device Age: *
• Implant Flag: N
• Date Removed: *
• Device Sequence No: 1
• Device Event Key: 740855
• Manufacturer: MEDICAL POSITIONING INC.
• Manufacturer Address: 1717 WASHINGTON KANSAS CITY MO 64108 US

Device Sequence Number: 2

• Brand Name: *
• Generic Name: PHYSICAL MEDICINE PRODUCTS
• Product Code: JFB
• Date Received: 2005-06-22
• Model Number: 60362
• Catalog Number: *
• Lot Number: *
• ID Number: *
• Device Availability: N
• Device Age: *
• Implant Flag: N
• Date Removed: *
• Device Sequence No: 2
• Device Event Key: 745928
• Manufacturer: MEDICAL POSITIONING INC.
• Manufacturer Address: 1717 WASHINGTON KANSAS CITY MO 64108 US

Patients

Patient Number	Treatment	Outcome	Date
1	0		2005-06-22