FDA Adverse Event Malfunction Summary report: N

PRIMUSRS

MDR report key: 2992449 · Received February 26, 2013

Report

Report Number
2992449
Event Type
Malfunction
Date Received
February 26, 2013
Date of Event
January 30, 2013
Report Date
February 26, 2013
Manufacturer
BTE TECHNOLOGIES, INC.
Product Code
BXB
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PATIENT HAD JUST COMPLETED A CONTINUOUS PASSIVE MOTION (CPM) ACTIVITY WITH THE BTE EQUIPMENT. THE THERAPIST WAS LOOKING UP THE REPORT WITH THE TOTAL RANGE WHEN THE HEAD UNLOCKED, DROPPING THE TOOL IN A DOWNWARD ARC. PATIENT WAS STILL IN THE MACHINE AT THE TIME. THE MACHINE DID NOT BEEP TO INDICATE THAT IT WAS GOING TO UNLOCK AND THE BUTTON YOU PUSH TO EITHER UNLOCK/LOCK THE MACHINE CONTINUED TO DISPLAY "UNLOCK" INDICATING IT NEEDED TO BE PUSHED TO UNLOCK THE MACHINE. THE PATIENT WAS STARTLED AND COMPLAINED OF SOME DISCOMFORT OVER THE RADIAL ASPECT OF THE WRIST AROUND THE THUMB CARPOMETACARPAL JOINT. THE MACHINE IS NOW MARKED OUT OF SERVICE. THE PATIENT FELT OK AT THE END OF THE SESSION. THE DEVICE ALSO FAILED TO BOOT-UP PROPERLY THEN NEXT TIME IT WAS TURNED ON.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?HAND THERAPY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
81347 PRIMUSRS EXERCISER BXB BTE TECHNOLOGIES, INC. * *

Patients

Seq Age Sex Outcome Treatment
1 52 YR