BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ANTHROS MEDICAL GROUP

    MDR report key: 97057 · Received June 2, 1997

    Report

    Report Number
    1932356-1997-90001
    Event Type
    Injury
    Date Received
    June 2, 1997
    Date of Event
    April 11, 1997
    Report Date
    May 30, 1997
    Manufacturer
    THE ANTHROS MEDICAL GROUP
    Product Code
    ITJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    RESIDENT LEANED SIDEWAYS AND TIPPED OVER AMBULATOR SUSTAINING LACERATION OVER LEFT EYEBROW AND RE-OPENING SKIN TEAR ON RT ELBOW. SENT TO ER, WAS DIAGNOSED WITH A FRACTURE OF THE RT ARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANTHROS MEDICAL GROUP AMBULATOR ITJ THE ANTHROS MEDICAL GROUP NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Required Intervention