inforMED
MalfunctionITH

TRACTION UNIT, POWERED, MOBILE

Received Mar 7, 1995 · Event occurred Jan 18, 1995

Report 20694 · MDR key 20694

Device

Generic name

Traction Unit, Powered, Mobile

Manufacturer

Chattanooga Corp.

Model number

TX-1

Product problems

  • Increase in Pressure

Patient

45 YR

  • Headache
  • Pain

Narrative

Description of Event or Problem

PT PRESENTED FOR OUTPATIENT CERVICAL TRACTION TREATMENT. HAD USED SAME MACHINE SEVERAL TIMES BEFORE AS AN INPATIENT. PT WAS GIVEN CALL LIGHT AND KILL SWITCH FOR MACHINE. TREATMENT BEGAN AT 20 LBS, WAS GRADUALLY INCREASED TO 25 LBS. APPROX 5 MINS AFTER TRACTION INCREASE THE PT CALLED OUT AND STOPPED THE MACHINE. HE COMPLAINED THAT THE PULL HAD INCREASED AND PULLED THE HALTER AND HEAD REST OFF OF HIS HEAD AND NECK. HE DENIED ANY PAIN OR DIZZINESS IMMEDIATELY AND THE TREATMENT WAS DISCONTINUED. THE MACHINE WAS TAKEN OUT OF SVC AND CHECKED BY THE CLINICAL ENGINEERING DEPT.