InjuryJFB
PHYSICAL THERAPY TABLE
Received Jan 30, 2013 · Event occurred Nov 8, 2012
Report 1022819-2013-00001 · MDR key 2956728
Product problems
- Unintended System Motion
Patient
67 YR
- Fall
- Fracture, Arm
- Joint Dislocation
Narrative
Description of Event or Problem
COMPLAINT RECEIVED ALLEGING "OUTPATIENT SAT ON PHYSICAL THERAPY TREATMENT TABLE WHEN IT WAS IN LOW POSITION. AFTER SHE SAT/LAID DOWN THE TABLE BEGAN TO ELEVATE, AND CONTINUED TO RISE. PT FELL OFF THE TABLE, WAS STABILIZED AND SENT TO THE EMERGENCY DEPARTMENT WHERE SHE WAS TREATED FOR A DISLOCATED SHOULDER AND FRACTURED ARM DUE TO THE FALL." INITIAL NOTIFICATION OF COMPLAINT WAS A COPY OF USER FACILITY FORM FDA 3500A REPORT NUMBER (B)(4). NO ADDITIONAL INFORMATION SUPPLIED TO US FOR EVALUATION. PRODUCT NOT RETURNED TO US FOR EVALUATION.