AM-BA SERIES TREATMENT TABLE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-03-25 for AM-BA SERIES TREATMENT TABLE manufactured by Armedica.

Event Text Entries

[5753928] Small child was receiving ot treatment for his elbow and was positioned at the side of the armedica hi-lo treatment table. In the course of the treatment, the child depressed the lever control bar resulting in the frame of the bed pinning his legs beneath the table. The downward motion resulted in continuing downward pressure on the control bar resulting in a fracture to his right femur. The child was supervised by the therapist from the opposite side of the treatment table. This was a similar incident filed to the fda on 08/18/2014 with the same model number: am-ba350.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5041722
MDR Report Key4645290
Date Received2015-03-25
Date of Report2015-03-25
Date of Event2015-03-18
Date Added to Maude2015-04-01
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
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
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameAM-BA SERIES TREATMENT TABLE
Generic NameTREATMENT TABLE
Product CodeINQ
Date Received2015-03-25
Model NumberAM-BA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerARMEDICA
Manufacturer AddressGREENWOOD AR 72936 US 72936


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2015-03-25

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