BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PANEL CLAMP UPPER AND LOWER

    MDR report key: 327140 · Received April 6, 2001

    Report

    Report Number
    1035617-2001-00006
    Event Type
    Malfunction
    Date Received
    April 6, 2001
    Date of Event
    February 21, 2001
    Report Date
    February 23, 2001
    Manufacturer
    ZIMMER PATIENT CARE
    Product Code
    HSQ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PATIENT PULLED ON TRAPEZE AND THE PANEL CLAMPS ALLEGEDLY CAME LOOSE WITH THE OVERHEAD BAR AND THE PULLEY/TRAPEZE COMING DOWN AND STRIKING RIGHT ARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    15271 PANEL CLAMP UPPER AND LOWER PANEL CLAMP HSQ ZIMMER PATIENT CARE * NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * PANEL CLAMP