MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-29 for A JACKSON SPINAL TABLE manufactured by Mizuho Orthopedic Systems, Inc..
[109661862]
I had 15-s1 plif, and immediately had pelvic pain. I recently went to dr. (b)(6). He said i was injured from the operating room table during my surgery. I had my plif at (b)(6).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5077515 |
| MDR Report Key | 7553243 |
| Date Received | 2018-05-29 |
| Date of Report | 2018-05-26 |
| Date of Event | 2007-12-17 |
| Date Added to Maude | 2018-05-30 |
| 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 |
| Reporter Occupation | PATIENT |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | A JACKSON SPINAL TABLE |
| Generic Name | TABLE, SURGICAL WITH ORTHOPEDIC ACCESSORIES |
| Product Code | JEB |
| Date Received | 2018-05-29 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MIZUHO ORTHOPEDIC SYSTEMS, INC. |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Deathisabilit | 2018-05-29 |