BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEMIBAR

    MDR report key: 1031604 · Received April 17, 2008

    Report

    Report Number
    MW5006292
    Event Type
    Malfunction
    Date Received
    April 17, 2008
    Date of Event
    April 3, 2008
    Report Date
    April 7, 2008
    Product Code
    ION
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RESIDENT WAS DOING THERAPY AT THE HEMIBAR IN THE THERAPY ROOM WHEN THE HEMIBAR DROPPED TO THE FLOOR. THE RESIDENT WAS NOT INJURED AS A RESULT OF THE INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEMIBAR NONE ION

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR