DYNATRON T3 TABLE T3GY

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 2010-02-24 for DYNATRON T3 TABLE T3GY manufactured by Dynatronics.

Event Text Entries

[1283897] Patient prone on treatment table, arms dangling over the side of the table. Table at waist height. Upon lowering the table, patient's 4th digit on right hand was caught between the table's upper and lower frames. He yelled and the operator reversed the table direction immediately. Skin was broken on both ventral and dorsal aspects of the finger but the patient was able to flex and extend the distal phalanx.
Patient Sequence No: 1, Text Type: D, B5


[8443243] Sales representative for dynatronics ((b)(4)) visited the clinic on (b)(4) 2010 to follow up on information received about a patient injury involving dynatron t3 hi-low table. Pt involved with the incident was not available for interview. The office receptionist confirmed the details of the incident as previously reported. Visual inspection of the table was made. No problems were noted with operation of table was made. No problems were noted with operation of table by the staff at clinic. Details of the incident as related to the operation of the device are as follows: patient was lying prone on table with hands hanging between upper frame assembly ((b)(4)) and base skirt ((b)(4)). As upper frame assembly lowers it passes through a slot on the base skirt ((b)(4)). Patient's right hand (fourth digit) was located below a screw on tube top pivot ((b)(4)). When pt lowered the table, patient's finger was caught between table's tube pivot and the slot on base skirt. Patient's finger was lacerated. Patient was seen at an urgent care facility where he received stitches, x-rays, and wound dressing. Ifu for t3 table clearly states on page 5 in treatment warnings and precautions section item #3, to advise patient prior to making any adjustments to table while patient is positioned on the table. Furthermore, item #4 of this section states: never place hands or feet near moving mechanisms while raising or lowering table. It is the expectation of manufacturer that the end user reads ifu and follows the instructions provided concerning warnings and precautions for operation of device. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1719362-2010-00001
MDR Report Key1617360
Report Source06
Date Received2010-02-24
Date of Report2010-01-29
Date of Event2010-01-27
Date Mfgr Received2010-01-29
Device Manufacturer Date2009-10-01
Date Added to Maude2011-10-03
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 ContactVINCE FOGER
Manufacturer Street7030 PARK CENTRE DR.
Manufacturer CityCOTTONWOOD HEIGHTS UT 84121
Manufacturer CountryUS
Manufacturer Postal84121
Manufacturer Phone8008746251
Single Use0
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameDYNATRON T3 TABLE
Generic NameTHREE SECTIONAL HI-LO TREATMENT TABLE
Product CodeINQ
Date Received2010-02-24
Model NumberDYNATRON T3
Catalog NumberT3GY
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerDYNATRONICS
Manufacturer AddressCOTTONWOOD HEIGHTS UT US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2010-02-24

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