BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HANG UPS

    MDR report key: 485230 · Received September 8, 2003

    Report

    Report Number
    3022192-2003-00002
    Event Type
    Injury
    Date Received
    September 8, 2003
    Date of Event
    January 27, 2002
    Report Date
    September 2, 2003
    Manufacturer
    STL INTERNATIONAL, INC.
    Product Code
    HST
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    LETTER RECEIVED IN 2003 NOTIFYING COMPANY THAT CLIENT HAD FALLEN OFF OF THE INVERSION TABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HANG UPS INVERSION TABLE HST STL INTERNATIONAL, INC. F5000III NA

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Hospitalization| O