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 |