BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRACTION DEVICE

    MDR report key: 43058 · Received September 13, 1996

    Report

    Report Number
    1035617-1996-00006
    Event Type
    Malfunction
    Date Received
    September 13, 1996
    Date of Event
    July 8, 1996
    Report Date
    September 9, 1996
    Manufacturer
    ZIMMER PATIENT CARE DIV.
    Product Code
    ILZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHILE PT WAS PULLING HIMSELF UP THE TRACTION BAR CLAMP ALLEGEDLY SNAPPED. NO INJURY TO THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRACTION DEVICE 35" DOUBLE CLAMP BAR ILZ ZIMMER PATIENT CARE DIV. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other