FDA Adverse Event Malfunction Summary report: N

RITTER

MDR report key: 2501641 · Received February 28, 2012

Report

Report Number
1523530-2012-00007
Event Type
Malfunction
Date Received
February 28, 2012
Date of Event
February 1, 2012
Report Date
February 27, 2012
Manufacturer
MIDMARK CORP.
Product Code
FQO
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE STEP INVOLVED WAS RETURNED AND EXAMINED. IT WAS FOUND THAT ONE OF THE SLIDES HOLDING THE STEP TO THE TABLE WAS OUT OF SPECIFICATIONS. THE CAUSE APPEARS TO BE THAT THE STEP WAS EITHER DAMAGED DURING INSTALLATION OR ABUSED DURING USE.

Description of Event or Problem · 1

PATIENT FELL OFF OF TABLE STEP. NO INJURIES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RITTER EXAMINATION TABLE FQO MIDMARK CORP. 204-001

Patients

Seq Age Sex Outcome Treatment
1