* ADO-300

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-11-21 for * ADO-300 manufactured by Dynatronics Corp. Chattanooga Operations.

Event Text Entries

[16129142] Technician noticed a broken weld on the head rest of the treatment table.
Patient Sequence No: 1, Text Type: D, B5

MAUDE Entry Details

• Report Number: 2883079
• MDR Report Key: 2883079
• Date Received: 2012-11-21
• Date of Report: 2012-11-21
• Date of Event: 2012-08-30
• Report Date: 2012-11-21
• Date Reported to FDA: 2012-11-21
• Date Added to Maude: 2012-12-21
• 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
• 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

Device Details

• Brand Name: *
• Generic Name: TABLE, PHYSICAL THERAPY, MULTI-FUNCTION
• Product Code: JFB
• Date Received: 2012-11-21
• Model Number: ADO-300
• Catalog Number: *
• Lot Number: *
• ID Number: *
• Device Availability: Y
• Device Age: 2 YR
• Device Sequence No: 1
• Device Event Key: 0
• Manufacturer: DYNATRONICS CORP. CHATTANOOGA OPERATIONS
• Manufacturer Address: 6607 MOUNTAIN VIEW ROAD COLLEGE DALE TN 37363 US 37363

Patients

Patient Number	Treatment	Outcome	Date
1	0		2012-11-21