FDA Adverse Event
Injury
Summary report: N
SUNMARK OVER-DOOR HEAD TRACTION SET
MDR report key: 356508
·
Received October 16, 2001
Report
- Report Number
- MW1023135
- Event Type
- Injury
- Date Received
- October 16, 2001
- Date of Event
- October 16, 2001
- Report Date
- October 16, 2001
- Manufacturer
- SUNMARK HOME HEALTH CARE CO MCKESSON CORP
- Product Code
- HST
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- WA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
TODAY RPTR PURCHASED A SUNMARK HOME HEALTH CARE CO MCKESSON COPR OVER DOOR HEAD TRACTION SET. PROD NO 456. ECON NO 186-0584. RPTR'S FIRST USE OF THIS PRODUCT, USED AS ORDERED BY PHYSICIAN, DIRECTED IN ITS USE BY A PHYSICAL THERAPIST, AND ASSEMBLED AS DIRECTED, CUT THROUGH A HALTER LOOP. THE SPREADER BAR IS STAMPED OUT AND HAS SHARP EDGES. AS A MEDICAL DEVICE THIS IS VERY POORLY MADE AND SHOULD BE RECALLED IMMEDIATELY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 46292 | SUNMARK OVER-DOOR HEAD TRACTION SET | CERVICAL TRACTION | HST | SUNMARK HOME HEALTH CARE CO MCKESSON CORP | 459 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 44 YR | Required Intervention| S |