HILL ADJUSTABLE 4X8

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-02-29 for HILL ADJUSTABLE 4X8 manufactured by Hill Laboratories Co..

Event Text Entries

[16725783] Patient was placed on an electric therapy table. When patient sat on edge of mat, the mat tilted to 45 degree angle causing patient to slide down the mat to the floor. Patient was doing therapy for a left total knee revision. Patient landed on her bottom with both legs extended out in front of her. Patient was assisted to a chair by a therapist and a cold pack was applied to the surgical knee. Therapist observed patient for rotation of knee immediately following the incident and none was noted. Patient given a cold pack to take home. Report made to patient's doctor the following day.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5024476
MDR Report Key2479459
Date Received2012-02-29
Date Added to Maude2012-03-07
Event Key0
Report Source CodeVoluntary 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 FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameHILL ADJUSTABLE
Generic NameELECTRIC THERAPY TABLE
Product CodeJFB
Date Received2012-02-29
Model Number4X8
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerHILL LABORATORIES CO.
Manufacturer Address3. N. BACTON HILL ROAD FRAZER PA 19355 US 19355


Patients

Patient NumberTreatmentOutcomeDate
10 2012-02-29

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