BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TOLLOS TITAN X

    MDR report key: 17524483 · Received August 12, 2023

    Report

    Report Number
    MW5131429
    Event Type
    Malfunction
    Date Received
    August 12, 2023
    Report Date
    April 20, 2017
    Manufacturer
    TOLLOS
    Product Code
    FSA
    Report Source
    Voluntary report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 0

    TECHNICIAN ARRIVED AND ASSEMBLY WAS BROKEN. SITE STATED THE ASSEMBLY SNAPPED WHEN THE PATIENT WAS INCHES FROM RESTING POINT IN PATIENT BED. (B)(4). THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2219564 TOLLOS TITAN X LIFT, PATIENT, NON-AC-POWERED FSA TOLLOS ML4891

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown