ARTHREX TRIMANO FORTIS 100230R0

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2019-05-29 for ARTHREX TRIMANO FORTIS 100230R0 manufactured by Holger Ullrich.

Event Text Entries

[146399108] At the time of this report the investigation was still ongoing. As soon as the investigation is finished the report will be updated and a follow-up/final report will be provided to the fda. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[146399109] It was reported that the handle of the trimano fortis was sticky. That is why the trimano arm was stuck during a surgery and could not be moved. After depressing the handle for several minutes it started to work again. The surgery proceeded and was completed after a 15 minute delay with the same product. No patient injury was reported. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8010652-2019-00016
MDR Report Key8650923
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2019-05-29
Date of Report2019-11-08
Date of Event2019-05-22
Date Mfgr Received2019-11-04
Device Manufacturer Date2018-12-15
Date Added to Maude2019-05-29
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer StreetMAQUET GMBH KEHLER STRASSE 31,
Manufacturer CityRASTATT 76437
Manufacturer CountryGM
Manufacturer Postal76437
Manufacturer G1HOLGER ULLRICH
Manufacturer StreetMAQUET GMBH KEHLER STRASSE 31,
Manufacturer CityRASTATT 76437
Manufacturer CountryGM
Manufacturer Postal Code76437
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameARTHREX TRIMANO FORTIS
Generic NameTABLE AND ATTACHMENTS, OPERATING-ROOM
Product CodeBWN
Date Received2019-05-29
Model Number100230R0
Catalog Number100230R0
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerHOLGER ULLRICH
Manufacturer AddressMAQUET GMBH KEHLER STRASSE 31, RASTATT 76437 GM 76437


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-05-29

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