BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ZIMMER TRAPEZE

    MDR report key: 335253 · Received May 23, 2001

    Report

    Report Number
    1035617-2001-00010
    Event Type
    Malfunction
    Date Received
    May 23, 2001
    Date of Event
    February 6, 2001
    Report Date
    May 2, 2001
    Manufacturer
    ZIMMER PATIENT CARE
    Product Code
    HSQ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE TRAPEZE ALLEGEDLY BROKE AT THE BASE OF THE OFFSET BAR AT THE HEADBOARD. PATIENT FELL ONTO BACK WITH INJURY REPORT BEING NOTED AS "NO INJURY OR DISABILITY."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    23954 ZIMMER TRAPEZE TRAPEZE HSQ ZIMMER PATIENT CARE * NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Other