DORO® Base Unit 3001-00Recalls & reported problems
Black Forest Medical GmbH · DORO® Adjustable Base Unit · Class 1
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 3
- Deaths reported
- 0
- Injuries reported
- 3
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 3 adverse event reports that list this exact device (DI 04250435500019), received between Oct 19, 2023 and Jun 20, 2024 — classified as 3 injuries.
The most frequently reported specific device problem is “Malposition of Device” (1 report).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.
Reports received per month
Most reported problems
Device problems
- Appropriate Device Problem Term/Code Not Available2
- Malposition of Device1
Patient problems
- No Clinical Signs, Symptoms or Conditions3
Recent adverse event reports
The 3 most recent of 3 reports, in the reporter's own words as published by the FDA.
InjuryJun 20, 2024Malposition of Device; Malposition of Device
DISTRIBUTOR INFORMED US ON MAY 23 THAT ONE OF OUR PRODUCTS WAS INVOLVED IN A PROCEDURE WHOSE COMPLETION HAD TO BE CANCELLED AND RESCHEDULED DUE TO MISALIGNMENT OF THE SYSTEM. SPECIFICALLY, THE PRODUCT WAS REPORTEDLY USED FOR THE FIRST TIME IN A PROCEDURE ON APRIL 20. DURING THE PROCEDURE, THE RESPONSIBLE SURGEON NOTICED THAT THE CLAMPING UNIT (MOVABLE HOUSING WITH CLAMPING FUNCTION ON THE SUPPORT TUBE OF THE BASE UNIT) OF THE PRODUCT WAS INCORRECTLY POSITIONED, WHICH LED TO A SHIFT IN THE POSITION OF THE PATIENT'S SKULL AND WHICH IS WHY THE TREATING SURGEON DECIDED TO POSTPONE THE COMPLETION OF THE PROCEDURE TO ANOTHER DATE. THE REPORTER DESCRIBES THAT AFTER CAREFUL INSPECTION OF THE PRODUCT, THE TEAM CONCLUDED THAT THERE WAS AN INADVERTENT DISPLACEMENT OF THE PRODUCT'S TENSION ADJUSTMENT DEVICE, THUS REDUCING THE TENSION SETTING, WHICH ALLOWED THE CLAMPING UNIT (WHICH IS CONNECTED TO THE SKULL CLAMP FIXING THE PATIENT'S HEAD) OF THE DEVICE TO SHIFT. IN A SECOND SUBSEQUENT FEEDBACK, THE USER DESCRIBES A FURTHER USE OF THE PRODUCT CARRIED OUT ON MAY 18 WITHOUT INCIDENTS OR OTHER ANOMALIES, DURING WHICH THE INTEGRITY AND OPTIMAL FUNCTIONING OF THE PRODUCT IS CONFIRMED, THE PROCEDURE
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 19575170 ↗InjuryOct 19, 2023Appropriate Device Problem Term/Code Not Available; Appropriate Device Problem Term/Code Not Available
CUSTOMER INFORMED US ON THE 6TH OF SEPTEMBER THAT ONE OF OUR PRODUCTS WAS INVOLVED IN A CASE IN WHICH THE PATIENT'S HEAD FELL OUT OF THE HEADREST SYSTEM, BECAUSE THE LOCKING LEVER OF THE SYSTEM'S BASE UNIT JUMPED OPEN AFTER CLOSING. IT WAS REQUIRED CATCHING THE PATIENT'S HEAD TO PREVENT IT FROM FALLING FURTHER.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17963182 ↗InjuryOct 19, 2023Appropriate Device Problem Term/Code Not Available; Appropriate Device Problem Term/Code Not Available
CUSTOMER INFORMED US ON THE (B)(6) THAT ONE OF OUR PRODUCTS WAS INVOLVED IN A CASE IN WHICH THE PATIENT'S HEAD FELL OUT OF THE HEADREST SYSTEM, BECAUSE THE LOCKING LEVER OF THE SYSTEM'S BASE UNIT JUMPED OPEN AFTER CLOSING. IT WAS REQUIRED CATCHING THE PATIENT'S HEAD TO PREVENT IT FROM FALLING FURTHER.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17963181 ↗
Other Headrest, Neurosurgical devices
- NA Head SupportSteris Corporation · HEADREST, NEUROSURGICAL1 recall5 reports
- NA Head SupportSteris Corporation · HEADREST, NEUROSURGICAL1 recall1 report
- MAYFIELD® A1012Integra Lifesciences Corporation · HEADREST, NEUROSURGICAL6 reports
- MAYFIELD® A1051Integra Lifesciences Corporation · HEADREST, NEUROSURGICAL5 reports
- DORO® Adaptor 3002-00Black Forest Medical GmbH · Headrest, Neurosurgical2 reports
- MAYFIELD® A1112Integra Lifesciences Corporation · HEADREST, NEUROSURGICAL1 report
- MAYFIELD® A1011Integra Lifesciences Corporation · HEADREST, NEUROSURGICAL1 report
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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