BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SPINALATOR ERGOSTYLE STATIONARY

    MDR report key: 124594 · Received October 1, 1997

    Report

    Report Number
    1022819-1997-00001
    Event Type
    Injury
    Date Received
    October 1, 1997
    Date of Event
    September 4, 1997
    Report Date
    September 29, 1997
    Manufacturer
    CHATTANOOGA GROUP, INC.
    Product Code
    JFB
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT SEATED ON CHIROPRACTIC TABLE TURNED TO LAY FACE DOWN ON TABLE. WHILE BRACING TO LAY DOWN, SHE WRAPPED HER HANDS AROUND CUSHION AND PROCEEDED TO LAY DOWN. THIS SECTION (THORACIC) OF THE TABLE WAS IN THE COCKED POSITION, BUT SHOULD NOT HAVE BEEN. THE PT'S BODY WEIGHT CAUSED THE COCKED SECTION TO RELEASE AND DROP APPROX 5/8". PT'S RIGHT MIDDLE FINGER BECAME CAUGHT BETWEEN PLASTIC STOP AND BOTTOM OF CUSHION AND CUT OFF THE TIP OF HER FINGER (APPROX 1/4 OF PT'S NAIL). THE PORTION OF FINGER WAS SURGICALLY REATTACHED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SPINALATOR ERGOSTYLE STATIONARY CHIROPRACTIC TABLE JFB CHATTANOOGA GROUP, INC. 8920 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention