BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRACKMASTER

    MDR report key: 410766 · Received August 13, 2002

    Report

    Report Number
    MW1025844
    Event Type
    Malfunction
    Date Received
    August 13, 2002
    Date of Event
    July 17, 2002
    Report Date
    August 13, 2002
    Manufacturer
    JAS TRACKMASTER
    Product Code
    IOL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT WALKING ON TREADMILL AT .6 MPH RATE. MACHINE SUDDENLY STOPPED THEN STARTED AGAIN AT INCREASED RATE OF APPROX 4-5 MPH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRACKMASTER TREADMILL IOL JAS TRACKMASTER 525AC *

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Other