MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-29 for RITTER MIDMARK HILO TABLE #223 (ADA) TABLE 223-016 manufactured by Midmark Corp..
[146690785]
Clinician was in exam room with pt sitting on ritter midmark 223 exam table. Clinician was adjusting table height downward when the "lip" of the table grabbed the lamp stand pulling it toward the pt hitting her on the head.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5087013 |
| MDR Report Key | 8655488 |
| Date Received | 2019-05-29 |
| Date of Report | 2019-05-14 |
| Date of Event | 2019-05-08 |
| Date Added to Maude | 2019-05-30 |
| 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 |
| 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 | RITTER MIDMARK HILO TABLE #223 (ADA) TABLE |
| Generic Name | CHAIR, SURGICAL AC-POWERED |
| Product Code | GBB |
| Date Received | 2019-05-29 |
| Model Number | 223-016 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | * |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MIDMARK CORP. |
| Manufacturer Address | 60 VISTA DRIVE VERSAILLES OH 453800286 US 453800286 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2019-05-29 |