BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 753055 · Received June 22, 2005

    Report

    Report Number
    MW1035847
    Event Type
    Malfunction
    Date Received
    June 22, 2005
    Date of Event
    June 6, 2005
    Report Date
    June 13, 2005
    Manufacturer
    MEDICAL POSITIONING INC.
    Product Code
    JFB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    NO INFORMATION

    Narratives

    Description of Event or Problem · 1

    NEW PAIN MANAGEMENT TABLE BROKE WHEN PATIENT WAS LYING ON IT. IT IS SUPPOSED TO HOLD UP TO 500LBS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * PHYSICAL MEDICINE PRODUCTS JFB MEDICAL POSITIONING INC. 60362 *
    2 * PHYSICAL MEDICINE PRODUCTS JFB MEDICAL POSITIONING INC. 60362 *

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR