TENZOR CARBON FIBER TRACTION UNIT ASSEMBLY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-03-10 for TENZOR CARBON FIBER TRACTION UNIT ASSEMBLY manufactured by Steris Corporation - Montgomery.

Event Text Entries

[40337773] A steris account manager arrived onsite, inspected the assembly, and identified that the boot straps ripped/tore. It is most likely that the or staff over tightened the straps causing them to rip/tear. The account manager replaced the boot straps, tested the assembly, and confirmed it to be operating according to specification. The assembly was returned for customer use. No additional issues have been reported. Section 1 of the operator manual for the tenzor carbon fiber traction unit assembly states, "check the table orthopedic extension abductor bars, siderails and carbon fiber traction unit for possible damage or wear prior to each use. Do not use the carbon fiber traction unit if any damage is apparent, if parts are missing or if it does not operate as expected. "
Patient Sequence No: 1, Text Type: N, H10


[40337774] The user facility reported that the boot strap on their tenzor carbon fiber traction unit assembly broke during a patient procedure. No report of injury, however the procedure was delayed due to the reported event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1043572-2016-00021
MDR Report Key5492569
Date Received2016-03-10
Date of Report2016-03-10
Date of Event2016-02-15
Date Mfgr Received2016-02-15
Date Added to Maude2016-03-10
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 FDA3
Event Location3
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 Report0

Device Details

Brand NameTENZOR CARBON FIBER TRACTION UNIT ASSEMBLY
Generic NameSURGICAL TABLE ACCESSORY
Product CodeJEB
Date Received2016-03-10
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
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 2016-03-10

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