inforMED
OtherITH

HYDROCOLLATOR

Received Jul 28, 2000 · Event occurred Jul 21, 2000

Report MW1019401 · MDR key 288153

Device

Generic name

Tx Traction Unit

Model number

TX-1

Catalog number

*

Lot number

*

Product problems

  • Collapse
  • Dislodged

Patient

38 YR

  • Other (for use when an appropriate patient code cannot be identified)
  • Therapy/non-surgical treatment, additional

Narrative

Description of Event or Problem

DURING COURSE OF TREATMENT, 13 MINS INTO 15 MIN SESSION, THE ROPE APPLYING STEADY PULL ON TRACTION BAR SUDDENLY DISLODGED OUT OF MACHINE, CREATING A SUDDEN RELEASE OF ALL TENSION AND PT SUSTAINED A SUDDEN JERK. ROPE WAS NOTED TO HAVE NOT BROKEN BUT HAD SOMEHOW UNWOUND IN INTERNAL MECHANISM AND SUDDENLY RELEASED DURING THIS TREATMENT SESSION.