BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    QUINTON

    MDR report key: 105091 · Received July 1, 1997

    Report

    Report Number
    105091
    Event Type
    Malfunction
    Date Received
    July 1, 1997
    Date of Event
    February 25, 1997
    Report Date
    March 6, 1997
    Manufacturer
    QUINTON INSTRUMENTS CO.
    Product Code
    IOL
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NC, US
    Reporter Occupation
    PHYSICAL THERAPIST

    Narratives

    Description of Event or Problem · 1

    PT WAS AMBULATORY ON THE TREADMILL AT A SPEED OF 1.4 MPH. PT WAS JARRED WHEN THE WALKING BELT ON THE TREADMILL SLIPPED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 QUINTON TREADMILL IOL QUINTON INSTRUMENTS CO. Q55-XT *

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR