FDA Adverse Event Malfunction Summary report: N

RITTER

MDR report key: 2142585 · Received June 21, 2011

Report

Report Number
1523530-2011-00017
Event Type
Malfunction
Date Received
June 21, 2011
Date of Event
May 26, 2011
Report Date
June 20, 2011
Manufacturer
MIDMARK CORP.
Product Code
GBB
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

A PT WAS PUNCTURED BY A STAPLE IN THE TABLE'S FOOTREST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RITTER CHAIR, SURGICAL, AC-POWERED GBB MIDMARK CORP. 230-004

Patients

Seq Age Sex Outcome Treatment
1