BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAYO TABLE

    MDR report key: 881504 · Received June 19, 2007

    Report

    Report Number
    881504
    Event Type
    Malfunction
    Date Received
    June 19, 2007
    Date of Event
    June 18, 2007
    Report Date
    June 19, 2007
    Manufacturer
    BLICKMAN, INC.
    Product Code
    LDQ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    DC, US

    Narratives

    Description of Event or Problem · 1

    MAYO TABLE DOESN'T STAY IN PLACE AND SLIDES DOWN BY ITSELF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAYO TABLE TABLE LDQ BLICKMAN, INC. 0617769000 *

    Patients

    Seq Age Sex Outcome Treatment
    1 *