BEUDAMED
    FDA Adverse Event Other Summary report: N

    ZIMMER CLAMP ASSEMBLY

    MDR report key: 329081 · Received April 24, 2001

    Report

    Report Number
    1035617-2001-00007
    Event Type
    Other
    Date Received
    April 24, 2001
    Date of Event
    February 28, 2001
    Report Date
    March 5, 2001
    Manufacturer
    ZIMMER PATIENT CARE
    Product Code
    HSQ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT WAS PULLING SELF UP WITH TRAPEZE BAR WHEN THE TRAPEZE FRAME BRACKET ALLEGEDLY BROKE AND STRUCK PT IN THE HEAD, CAUSING A RAISED AREA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    18655 ZIMMER CLAMP ASSEMBLY TRAPEZE CLAMP ASSEMBLY HSQ ZIMMER PATIENT CARE * NA

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR Other