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 2014-01-23 for GROSS TRACTION UNIT manufactured by Steris Corporation - Montgomery.

Event Text Entries

[16009980] The user facility reported their gross traction device did not function properly during a patient procedure. No injuries were reported.
Patient Sequence No: 1, Text Type: D, B5


[16287245] The gross traction device has been sent back to steris montgomery for evaluation. 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


[30284273] The evaluation revealed assembly errors within the gross traction device. When the unit was reassembled to specification, it was found to function normally and correctly. A review of on-hand inventory was conducted and revealed this to be an isolated event. No additional issues have been reported.
Patient Sequence No: 1, Text Type: N, H10


[30284274] No procedural delays/cancellations were reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1043572-2014-00007
MDR Report Key3589475
Report Source06
Date Received2014-01-23
Date of Report2014-01-23
Date of Event2013-12-30
Date Mfgr Received2013-12-30
Date Added to Maude2014-04-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
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 Received2014-01-23
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 2014-01-23

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