MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-05-20 for TRITON TRT-200 * manufactured by Chattanooga Group.
[2059086]
The patient was moving from a chair to a high low table. The table was elevated so the patient could remain in the seated position. As she sat on the table, the elevated area came out of the grooves and fell flat. This startled the patient. She felt her 3rd and 4th digits may have been pinched. She was given ice and reported no pain at the end of the treatment session. There were no cuts or bruises when she left.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2117564 |
| MDR Report Key | 2117564 |
| Date Received | 2011-05-20 |
| Date of Report | 2011-02-22 |
| Date of Event | 2011-02-17 |
| Report Date | 2011-02-22 |
| Date Reported to FDA | 2011-05-20 |
| Date Added to Maude | 2011-06-09 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | TRITON TRT-200 |
| Generic Name | HIGH LOW TABLE |
| Product Code | ITH |
| Date Received | 2011-05-20 |
| Model Number | TRT-200 |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Device Age | 8 YRS |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CHATTANOOGA GROUP |
| Manufacturer Address | 1430 DECISION STREET VISTA CA 92081 US 92081 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2011-05-20 |