*

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-08-10 for * manufactured by Zimmer Orthopaedic Surgical Products.

Event Text Entries

[16837537] The patient was pulling himself to bed from the stretcher with the use of the trapeze bar when all of a sudden the whole frame fell on the bed. Note: the s-bar clamps broke. The orthopedic technician was notified and the entire equipment was changed.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number905386
MDR Report Key905386
Date Received2007-08-10
Date of Report2007-08-10
Date of Event2007-07-17
Report Date2007-08-10
Date Reported to FDA2007-08-10
Date Added to Maude2007-08-31
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameTRAPEZE, ORTHOPEDIC, BAR CLAMPS
Product CodeILZ
Date Received2007-08-10
Model Number*
Catalog Number*
Lot Number*
ID Number*
Device AvailabilityN
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key880241
ManufacturerZIMMER ORTHOPAEDIC SURGICAL PRODUCTS
Manufacturer Address200 WEST OHIO AVENUE DOVER OH 44622 US


Patients

Patient NumberTreatmentOutcomeDate
10 2007-08-10

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