FDA Adverse Event Injury Summary report: N

QUINTON

MDR report key: 111254 · Received August 4, 1997

Report

Report Number
111254
Event Type
Injury
Date Received
August 4, 1997
Date of Event
July 22, 1997
Report Date
July 30, 1997
Manufacturer
QUINTON INC
Product Code
IOL
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
TX, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

WHILE STANDING ON TREADMILL, EXPLAINING TO PT THE PROCEDURE, A CO-WORKER TURNED THE TREADMILL ON. THE TREAD BEGAN MOVING AT SPEED, CAUSING THE EMPLOYEE TO FALL, STRIKING HER FACE ON THE TREAD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 QUINTON TREADMILL IOL QUINTON INC Q55 NA

Patients

Seq Age Sex Outcome Treatment
1 40 YR Hospitalization| R