BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 2883079 · Received November 21, 2012

    Report

    Report Number
    2883079
    Event Type
    Malfunction
    Date Received
    November 21, 2012
    Date of Event
    August 30, 2012
    Report Date
    November 21, 2012
    Manufacturer
    DYNATRONICS CORP. CHATTANOOGA OPERATIONS
    Product Code
    JFB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US

    Narratives

    Description of Event or Problem · 1

    TECHNICIAN NOTICED A BROKEN WELD ON THE HEAD REST OF THE TREATMENT TABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * TABLE, PHYSICAL THERAPY, MULTI-FUNCTION JFB DYNATRONICS CORP. CHATTANOOGA OPERATIONS ADO-300 *

    Patients

    Seq Age Sex Outcome Treatment
    1 *