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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: I.V. POLE

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I.V. POLE Back to Search Results
Device Problems Device Operates Differently Than Expected (2913); Electromagnetic Compatibility Problem (2927)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 04/14/2016
Event Type  Other  
Event Description
Student took mri safe wheelchair around back of magnet to help a patient off table. Iv pole attached to chair, "assumed" to be mri safe, was pulled to magnet. No harm to patient or student. Patient still on table. Mri chair was purchased 1 year ago. Company was contacted to verify mri safety. I cannot verify same pole purchased was same one attached to chair. A work order cannot be located if it was replaced.
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Brand NameI.V. POLE
Type of DeviceI.V. POLE
MDR Report Key5608508
MDR Text Key43767469
Report NumberMW5061879
Device Sequence Number1
Product Code FOX
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation
Type of Report Initial
Report Date 04/20/2016
1 Device was Involved in the Event
0 Patients were Involved in the Event:
Date FDA Received04/21/2016
Is this an Adverse Event Report? No
Is this a Product Problem Report? No
Device Operator
Was Device Available for Evaluation? No Answer Provided
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA?
Event Location No Information
Was Device Evaluated by Manufacturer? No Answer Provided
Is the Device Single Use? No Answer Provided
Is This a Reprocessed and Reused Single-Use Device?
Type of Device Usage