BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CHICK TABLE

    MDR report key: 11442 · Received February 11, 1994

    Report

    Report Number
    MW1000727
    Event Type
    Injury
    Date Received
    February 11, 1994
    Date of Event
    December 29, 1993
    Report Date
    January 31, 1994
    Manufacturer
    MIDMARK CORP.
    Product Code
    JEB
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE PT HAD AN ORIF OF HIS LEFT PELVIS SECONDARY TO AN ACETABULAR FRACTURE. THE PROCEDURE LASTED APPROX SIX HRS AND WAS PERFORMED ON THIS TABLE. TWO WKS LATER, THE PT RETURNED TO THE OR FOR REPAIR OF SKIN BREAKDOWNS IN HIS PERINEAL AREA. THE SKIN BREAKDOWNS WERE BELIEVED TO BE THE RESULT OF PROLONGED PRESSURE TO THE PERINEUM WHILE THE PT WAS ON THE TABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CHICK TABLE JEB MIDMARK CORP. 10500 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Hospitalization| R