BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRAPEZE

    MDR report key: 36685 · Received September 4, 1996

    Report

    Report Number
    MW4001474
    Event Type
    Malfunction
    Date Received
    September 4, 1996
    Date of Event
    March 23, 1995
    Report Date
    July 25, 1995
    Manufacturer
    UNK
    Product Code
    ILZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RESIDENT REACHED UP TO USE TRAPEZE. TRAPEZE LET GO AND HIT RESIDENT ON RIGHT SIDE OF FOREHEAD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRAPEZE TRAPEZE ILZ UNK UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 88 YR