TRITON DTS 2841

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2009-01-02 for TRITON DTS 2841 manufactured by Chattanooga Group.

Event Text Entries

[20238727] Therapist was providing cervical traction when the rope just released. Therapist mentioned that the unit had a constant humming since the day it was unboxed and placed into service. The humming was constant like that of a pc fan running. As conveyed, the unit was in progress of a cervical traction when the unit appeared to error and released the patient from treatment. The unit did have error 309 twice prior to the event. There was no report of patient injury.
Patient Sequence No: 1, Text Type: D, B5


[20608924] The evaluation revealed that the rope had misaligned with the pulley assembly adjacent to the device load cell. Misalignment is typical of product mis-use and/or product mis-handling. The device user manual, as attached, specifically indicates not to mis-use and/or mis-handle product, not to use product if errors appear, and inspect the product prior to each use.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1022819-2008-00373
MDR Report Key1280531
Report Source06
Date Received2009-01-02
Date of Report2007-12-20
Date Mfgr Received2007-12-20
Date Added to Maude2009-01-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMICHAEL TREAS
Manufacturer Street4717 ADAMS RD.
Manufacturer CityHIXSON TN 37343
Manufacturer CountryUS
Manufacturer Postal37343
Manufacturer Phone4238702281
Single Use3
Remedial ActionRP
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTRITON DTS
Product CodeITH
Date Received2009-01-02
Returned To Mfg2008-01-16
Model Number2841
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCHATTANOOGA GROUP
Manufacturer Address4717 ADAMS RD. HIXSON TN 37343 US 37343


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2009-01-02

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