MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2019-10-24 for EASYSTAND STRAPSTAND 2000 manufactured by Altimate Medical, Inc..
| Report Number | 2183634-2019-00002 |
| MDR Report Key | 9235232 |
| Report Source | DISTRIBUTOR |
| Date Received | 2019-10-24 |
| Date of Report | 2019-09-27 |
| Date of Event | 2019-09-27 |
| Date Mfgr Received | 2019-09-27 |
| Device Manufacturer Date | 2008-01-07 |
| Date Added to Maude | 2019-10-24 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| 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 |
| Manufacturer Contact | MR. TRAVIS FLUCK |
| Manufacturer Street | 262 WEST FIRST STREET |
| Manufacturer City | MORTON MN 56270 |
| Manufacturer Country | US |
| Manufacturer Postal | 56270 |
| Manufacturer Phone | 5076976393 |
| Manufacturer G1 | ALTIMATE MEDICAL, INC. |
| Manufacturer Street | 262 WEST FIRST STREET |
| Manufacturer City | MORTON MN 56270 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 56270 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | EASYSTAND STRAPSTAND |
| Generic Name | STANDING FRAME |
| Product Code | ION |
| Date Received | 2019-10-24 |
| Model Number | STRAPSTAND |
| Catalog Number | 2000 |
| Device Availability | N |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ALTIMATE MEDICAL, INC. |
| Manufacturer Address | 262 WEST FIRST STREET MORTON MN 56270 US 56270 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2019-10-24 |