BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HUTIV TABLE ASSY STD W/COLOR

    MDR report key: 1032305 · Received April 22, 2008

    Report

    Report Number
    1518293-2008-00160
    Event Type
    Malfunction
    Date Received
    April 22, 2008
    Date of Event
    March 28, 2008
    Report Date
    March 28, 2008
    Manufacturer
    LIEBEL-FLARSHEIM CO.
    Product Code
    MMZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    LIEBEL FLARSHEIM FIELD SERVICE ENGINEER REPORT. FSE REPLACE TOWER SIDE TABLE SUPPORT RAIL AND TOWER SIDE THUMB SCREW LATCH ON VOIDING STOOL DUE TO DAMAGED THREADS ON BOTH ITEMS. UNIT FUNCTIONAL AND RETURNED TO SERVICE.

    Description of Event or Problem · 1

    CUSTOMER REPORTED THAT A FEMALE WAS UNDERGOING A UROLOGY PROCEDURE FOR INCONTINENCE. SHE REPORTED THAT THEY ATTACHED THE VOIDING STOOL TO THE UROLOGY TABLE. WITH THE PATIENT SITTING ON THE STOOL THEY STARTED TO RAISE THE PATIENT INTO POSITION WHEN THE VOIDING STOOL AND PATIENT TILTED SIDEWAY. THE CUSTOMER REMOVED THE PATIENT FROM THE STOOL. SHE REPORTED THAT THERE WERE NO INJURIES TO THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HUTIV TABLE ASSY STD W/COLOR UROLOGY TABLE MMZ LIEBEL-FLARSHEIM CO. HUT TABLE NA

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR