NUSTEP T5/T5 XR T5XR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-02-16 for NUSTEP T5/T5 XR T5XR manufactured by Nustep, Inc..

Event Text Entries

[1460972] While using the nustep equipment during a physical therapy rehabilitation session, the left 'arm' of the equipment came loose, swung downward, and struck the pt in the left knee. The pt did not sustain any acute trauma or injury.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5014795
MDR Report Key1610356
Date Received2010-02-16
Date of Report2010-02-16
Date of Event2010-01-26
Date Added to Maude2010-03-11
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameNUSTEP T5/T5 XR
Generic NameNUSTEP T5/T5 XR RECUMBENT CROSS TRAINER
Product CodeBXB
Date Received2010-02-16
Model NumberT5XR
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerNUSTEP, INC.
Manufacturer Address5111 VENTURE DRIVE SUITE 1 ANN ARBOR MI 48108 US 48108


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2010-02-16

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