MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-06-19 for MAYO TABLE 0617769000 * manufactured by Blickman, Inc..
[623220]
Mayo table doesn't stay in place and slides down by itself.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 881504 |
| MDR Report Key | 881504 |
| Date Received | 2007-06-19 |
| Date of Report | 2007-06-19 |
| Date of Event | 2007-06-18 |
| Report Date | 2007-06-19 |
| Date Reported to FDA | 2007-06-19 |
| Date Added to Maude | 2007-07-18 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| 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 |
| Brand Name | MAYO TABLE |
| Generic Name | TABLE |
| Product Code | LDQ |
| Date Received | 2007-06-19 |
| Model Number | 0617769000 |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Device Availability | Y |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 860154 |
| Manufacturer | BLICKMAN, INC. |
| Manufacturer Address | 39 ROBINSON RD LODI NJ 07644 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2007-06-19 |