MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-11-15 for BREWER ACCESS EXAM TABLE 5000-04 manufactured by The Brewer Company, Llc.
[127855188]
One of our patient's went to sit on the exam table and he placed his left hand finger underneath the cushion and quickly sat down. At that time the tip of his middle finger sliced off. The distal tip was on the floor. The bumpers under the seat cushion to separate from the base of exam table were missing.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5081405 |
| MDR Report Key | 8079612 |
| Date Received | 2018-11-15 |
| Date of Report | 2018-11-13 |
| Date of Event | 2018-07-30 |
| Date Added to Maude | 2018-11-16 |
| 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 | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | BREWER ACCESS EXAM TABLE |
| Generic Name | TABLE, EXAMINATION, MEDICAL, POWERED |
| Product Code | LGX |
| Date Received | 2018-11-15 |
| Model Number | 5000-04 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | THE BREWER COMPANY, LLC |
| Manufacturer Address | MENOMONEE FALLS WI 53051 US 53051 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Deathisabilit | 2018-11-15 |