FDA Adverse Event Other Summary report: N

TRANSMOTION MEDICAL, INC.

MDR report key: 2823721 · Received October 24, 2012

Report

Report Number
3004082462-2012-00003
Event Type
Other
Date Received
October 24, 2012
Date of Event
September 28, 2012
Report Date
October 23, 2012
Manufacturer
TRANSMOTION MEDICAL INC.
Product Code
GBB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

TMM'S SALES REPRESENTATIVE WENT TO THE FACILITY TO REVIEW THE SITUATION (B)(4) 2012. IT WAS CLEAR THE FACILITY DIDN'T USE THE PROPER ACCESSORY (BACK REST EXTENSION) THAT IS USED FOR TRANSPORT. THE BACK REST EXTENSION WAS FOUND BY THE STAFF IN THE CLOSET. THE STAFF WAS RETRAINED ON THE IMPORTANCE OF USING THE DEVICE AS IT WAS DESIGNED FOR SAFE AND PROPER USE. THERE WAS NO DEFICIENCIES WITH THE PRODUCT.

Description of Event or Problem · 1

AT (B)(6) HOSPITAL, THE TRANSPORT DEPARTMENT WENT UP TO THE ROOM TO GET A STROKE PT TO TRANSPORT IN THE TMM3 CHAIR FOR HER VIDEO SWALLOW STUDY PROCEDURE. THEY SAT HER UP SHE FELL THROUGH THE BACK OF THE CHAIR, AND IT WAS STATED THAT SHE "CUT HER HEAD."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TRANSMOTION MEDICAL, INC. TMM3 VIDEO SWALLOW STUDY CHAIR GBB TRANSMOTION MEDICAL INC. TMM3-B 1532

Patients

Seq Age Sex Outcome Treatment
1 52 YR Hospitalization| R