TRITON TRT-200 *

MAUDE Adverse Event Report

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.

Event Text Entries

[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


MAUDE Entry Details

Report Number2117564
MDR Report Key2117564
Date Received2011-05-20
Date of Report2011-02-22
Date of Event2011-02-17
Report Date2011-02-22
Date Reported to FDA2011-05-20
Date Added to Maude2011-06-09
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameTRITON TRT-200
Generic NameHIGH LOW TABLE
Product CodeITH
Date Received2011-05-20
Model NumberTRT-200
Catalog Number*
Lot Number*
ID Number*
Device Age8 YRS
Device Sequence No1
Device Event Key0
ManufacturerCHATTANOOGA GROUP
Manufacturer Address1430 DECISION STREET VISTA CA 92081 US 92081


Patients

Patient NumberTreatmentOutcomeDate
10 2011-05-20

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