GROSS TRACTION UNIT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2013-12-02 for GROSS TRACTION UNIT manufactured by Steris Corporation - Montgomery.

Event Text Entries

[19730889] The user facility reported that during a patient procedure, the gross traction unit did not operate properly. A steris account manger was present at the time of the event and assisted the staff in exchanging the gross traction unit with a backup unit and the case was completed successfully. A procedural delay was reported due to the exchange of the gross traction unit.
Patient Sequence No: 1, Text Type: D, B5


[19820169] The investigation of this event is currently in process. A follow-up report will be submitted once additional information becomes available.
Patient Sequence No: 1, Text Type: N, H10


[33266545] The steris account manager provided pictures of the gross traction unit which shows what appear to be fractures along both sides of the unit. This source of the damage could not be confirmed, but it likely resulted from impact damage. The unit subject of this event was returned to steris for evaluation. The evaluation determined the only cause of the malfunction could have been the damage to the locking mechanism.
Patient Sequence No: 1, Text Type: N, H10


[33266546] No injuries were reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1043572-2013-00127
MDR Report Key3494713
Report Source06
Date Received2013-12-02
Date of Report2013-12-02
Date of Event2013-11-08
Date Mfgr Received2013-11-08
Date Added to Maude2014-03-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMS KATHRYN CADORETTE
Manufacturer Street5960 HEISLEY ROAD
Manufacturer CityMENTOR OH 44060
Manufacturer CountryUS
Manufacturer Postal44060
Manufacturer Phone4403927231
Manufacturer G1STERIS CORPORATION - MONTGOMERY
Manufacturer Street2720 GUNTER PARK DRIVE EAST
Manufacturer CityMONTGOMERY AL 36109
Manufacturer CountryUS
Manufacturer Postal Code36109
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameGROSS TRACTION UNIT
Generic NameTABLE ACCESSORY
Product CodeJEB
Date Received2013-12-02
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTERIS CORPORATION - MONTGOMERY
Manufacturer Address2720 GUNTER PARK DRIVE EAST MONTGOMERY AL 36109 US 36109


Patients

Patient NumberTreatmentOutcomeDate
10 2013-12-02

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