MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-15 for CHEST SUPPORT WITH PAD A-71301 manufactured by Allen Medical Systems.
[175033119]
Chest pad broke during surgery.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9590524 |
| MDR Report Key | 9590524 |
| Date Received | 2020-01-15 |
| Date of Report | 2020-01-07 |
| Date of Event | 2020-01-02 |
| Report Date | 2020-01-07 |
| Date Reported to FDA | 2020-01-07 |
| Date Reported to Mfgr | 2020-01-15 |
| Date Added to Maude | 2020-01-15 |
| 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 | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| 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 | 3 |
| Brand Name | CHEST SUPPORT WITH PAD |
| Generic Name | TABLE AND ATTACHMENTS, OPERATING-ROOM |
| Product Code | BWN |
| Date Received | 2020-01-15 |
| Catalog Number | A-71301 |
| Device Availability | Y |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ALLEN MEDICAL SYSTEMS |
| Manufacturer Address | 100 DISCOVERY WAY ACTON MA 01720 US 01720 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-01-15 |