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