MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-09-11 for TRE-43 TRITON TABLE 7731 manufactured by Chattanooga Group, Inc.
[3112838]
Physical therapist was performing a grade v (thrust) mobilization to the pt's thoracic spine when the leaf of the treatment table supporting the pt's head and shoulders broke loose causing the pt and therapist to slide down table bumping the wall. Pt complained of increased neck and shoulder pain.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5026897 |
| MDR Report Key | 2747013 |
| Date Received | 2012-09-11 |
| Date of Report | 2012-09-11 |
| Date of Event | 2012-08-29 |
| Date Added to Maude | 2012-09-17 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | TRE-43 TRITON TABLE |
| Generic Name | TREATMENT TABLE |
| Product Code | INQ |
| Date Received | 2012-09-11 |
| Catalog Number | 7731 |
| Lot Number | 1450 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CHATTANOOGA GROUP, INC |
| Manufacturer Address | 4717 ADAMS RD EIXSON TN 37343 US 37343 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2012-09-11 |