ULTRA HIGH/LOW TABLE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-05-03 for ULTRA HIGH/LOW TABLE manufactured by Dynatronics.

Event Text Entries

[74637146] The pt was on the ultra by dynatronics table and the therapist used the footplate to raise the table. After the release of the foot plate, the table continued to raise on it's own. The therapist had to unplug the table in order to get it to stop. The pt was unharmed during this incident. The use of the table was discontinued and service was called to look at the table.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5069588
MDR Report Key6547567
Date Received2017-05-03
Date of Report2017-05-03
Date of Event2017-01-30
Date Added to Maude2017-05-05
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 CAREGIVERS
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameULTRA HIGH/LOW TABLE
Generic NamePOWERED TABLE
Product CodeINQ
Date Received2017-05-03
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerDYNATRONICS
Manufacturer AddressUS


Patients

Patient NumberTreatmentOutcomeDate
10 2017-05-03

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