MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2005-02-17 for ZIMMER UNK * manufactured by Zimmer Pt Care Div.
[393791]
When moving the pt's bed, the trapeze support broke causing it to fall and strike the pt's head.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1034703 |
| MDR Report Key | 575093 |
| Date Received | 2005-02-17 |
| Date of Report | 2005-02-17 |
| Date of Event | 2005-02-14 |
| Date Added to Maude | 2005-02-24 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ZIMMER |
| Generic Name | TRAPEZE BAR |
| Product Code | ILZ |
| Date Received | 2005-02-17 |
| Model Number | UNK |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 564940 |
| Manufacturer | ZIMMER PT CARE DIV |
| Manufacturer Address | 1872 OLD MOUNTAIN RD. STATESVILLE NC 28677 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2005-02-17 |