BEUDAMED
    FDA Adverse Event Other Summary report: N

    TREADMILL

    MDR report key: 34647 · Received July 25, 1996

    Report

    Report Number
    MW1009579
    Event Type
    Other
    Date Received
    July 25, 1996
    Date of Event
    July 3, 1996
    Report Date
    July 8, 1996
    Manufacturer
    TRACKMASTER
    Product Code
    IOL
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NH, US
    Reporter Occupation
    PHYSICAL THERAPIST

    Narratives

    Description of Event or Problem · 1

    THE PT WAS RUNNING ON TREADMILL AT 7.7 MPH APPROX 10 MINS WHEN THE TREADMILL SUDDENLY STOPPED AND PT FELL FORWARD ONTO THE HANDLEBARS. PT THEN BEGAN TO COMPLAIN OF "STIFFNESS" IN LOW BACK AND PAIN. OVER THE NEXT 15 MINS PAIN INCREASED TO WHERE PT'S LOWER BACK AND LEFT LOWER EXTREMITY WERE PAINFUL. SEEN IN WALK-IN CLINIC FOR EVALUATION BY MD ON 7/3/96. FOLLOW-UP MD APPOINTMENT SCHEDULED 7/10/96.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TREADMILL TREADMILL IOL TRACKMASTER TM210/5

    Patients

    Seq Age Sex Outcome Treatment
    1 35 YR Other