RT300-SLSA FA104581

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2010-03-03 for RT300-SLSA FA104581 manufactured by Restorative Therapies Inc..

Event Text Entries

[1334293] Pt has c1/c2 (b) (6) a spinal cord injury. Pt experienced wrist fracture probably while "one arm" fes cycling using rt300 fes arm ergometer. Pt's mother advises that no one recalls any falls or getting pt's arm stuck or twisted. Mother recalled that at the last fes cycling session, her daughter asked for a hug while cycling and the mother had placed her arms around her neck and pulled toward her and thought there could possibly have been twisting of the wrist. The next day, mother noticed a bump on the wrist and the following day they took her to the orthopedist.
Patient Sequence No: 1, Text Type: D, B5


[8516961] We contacted the prescribing clinic and determined that they have seen a total of two instances of pediatric buckle wrist fracture probably related to fes arm cycling. The clinic conducted a meeting to discuss these two cases and advised us that the buckle wrist fractures were due to twisting of the pt while cycling. Together we prepared the following add'l caution for the product user guide: add'l cautions for upper extremity ergometry with children. Torus fractures, or buckle fractures, are extremely common injuries seen in children. Because children have softer bones, one side of the bone may buckle upon itself without disrupting the other side; this is also known as an incomplete fracture. Torus fractures have been reported in children during upper extremity ergometry. To reduce the chance of wrist injury: ensure that the wrist is well supported during upper extremity ergometry. Ensure that the hand, wrist and arm adaptations recommended by your clinician are always used. Ensure that the child remain seated straight on towards the ergometer and avoid twisting motion of the forearm and wrist. The clinic has advised that this issue relates to younger children, under 14 years of age. Restorative therapies will contact pediatric clinics that have the rt300-slsa system and advise them of this new caution. We will also contact the family of under 10 year old pts who fes arm cycle and advise them of the caution.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3004733458-2010-00001
MDR Report Key1623559
Report Source04
Date Received2010-03-03
Date of Report2010-03-03
Date of Event2010-02-10
Date Mfgr Received2010-02-10
Device Manufacturer Date2009-11-01
Date Added to Maude2010-03-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer Street907 SOUTH LAKEWOOD AVE.
Manufacturer CityBALTIMORE MD 21224
Manufacturer CountryUS
Manufacturer Postal21224
Manufacturer Phone8006099166
Single Use3
Remedial ActionNO
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameRT300-SLSA
Generic NameFES CYCLE ERGOMETER
Product CodeGZI
Date Received2010-03-03
Model NumberFA104581
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerRESTORATIVE THERAPIES INC.
Manufacturer AddressBALTIMORE MD US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2010-03-03

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