FDA Adverse Event Malfunction Summary report: N

HUT EXT DR FINAL ASSY-REVERSE

MDR report key: 1051260 · Received May 22, 2008

Report

Report Number
1518293-2008-00183
Event Type
Malfunction
Date Received
May 22, 2008
Date of Event
April 24, 2008
Report Date
April 24, 2008
Manufacturer
LIEBEL-FLARSHEIM CO
Product Code
KQS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

LIEBEL FLARSHEIM MFG INVESTIGATION REPORT PENDING. ONCE MFG INVESTIGATION REPORT IS RECEIVED, A MEDWATCH SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

CUSTOMER REPORTS THAT FEMALE UNDERGOING A BLADDER RESECTION FOR TUMOR. PT MOVED ONTO THE UROLOGY TABLE, ANESTHESIA WAS INTRODUCED AND PT INTUBATED. PT DRAPED FOR PROCEDURE WHEN THE ROOM LOCKED UP AND WENT DOWN. UNABLE TO REBOOT SYSTEM AND PT HAD TO BE MOVED TO ANOTHER ROOM. CUSTOMER STATES THAT PT SAFETY WAS COMPROMISED DUE TO FACT THAT PT UNDER ANESTHESIA LONGER THAN PROBABLY NECESSARY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HUT EXT DR FINAL ASSY-REVERSE UROLOGY SUITE KQS LIEBEL-FLARSHEIM CO HUT EXT DR NA

Patients

Seq Age Sex Outcome Treatment
1 UNK