inforMED
MalfunctionILZ

*

Received Apr 19, 2005 · Event occurred Dec 29, 2004

Report 1035617-2005-00003 · MDR key 595500

Device

Generic name

Trapeze Frame Offset Double Clamp Bar

Model number

*

Catalog number

1066-005

Lot number

NI

Product problems

  • Break

Patient

46 YR

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

TRAPEZE FRAME BROKE AT OFFSET DOUBLE CLAMP BAR (35" OR 89CM) WHILE IN USE ON PT POST-SURGERY. DIDN'T HIT PT, NO INJURY.