MEERA EU WITHOUT AUTO DRIVE
Report
- Report Number
- 8010652-2021-00029
- Event Type
- Injury
- Date Received
- October 14, 2021
- Date of Event
- October 12, 2021
- Report Date
- November 10, 2021
- Manufacturer
- HOLGER ULLRICH
- Product Code
- FQO
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TH
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
A GETINGE-MAQUET FIELD SERVICE ENGINEER HAS INVESTIGATED THE AFFECTED TABLE AND HAS NOT FOUND ANY DAMAGE OR MALFUNCTION. WE ASSUME THAT THE FOLLOWING HAS HAPPENED. THE TABLES' DOWNWARD MOVEMENT WAS BLOCKED BY AN OBSTACLE, E.G. AN INSTRUMENT TABLE. WHEN THE TABLE OR A PART OF IT WAS MOVED DOWNWARDS, THE TABLES BASE WAS LIFTED OF THE FLOOR. ONCE THE OBSTACLE BROKE OR SLIPPED OUT, THE TABLES BASE WAS LOWERED BACK ON THE FLOOR AND CRUSHED THE DOCTORS FOOT. IN THE INSTRUCTIONS FOR USE (IFU) IT IS STATED THE USER HAS TO PAY ATTENTION AND AVOID COLLISIONS WHEN OPERATING THE TABLE. IN CHAPTER 2 OF THE IFU POSSIBLE HAZARDS ARE STATED: "WARNING! RISK OF INJURY! WHEN ADJUSTING AND MOVING THE OR TABLE, THE TABLE TOP OR THE ACCESSORIES, COLLISIONS MAY OCCUR WITH THE PATIENT, BETWEEN THE INDIVIDUAL PRODUCTS OR PARTS POINTING DOWNWARDS. DURING THE ADJUSTMENT PROCEDURES, ALWAYS PAY ATTENTION TO THE OR TABLE AND ACCESSORIES AND AVOID COLLISIONS. ENSURE THAT TUBES, CABLES AND DRAPES ARE NOT TRAPPED." GETINGE-MAQUET GMBH PROVIDES PRODUCT FAILURE INVESTIGATION, ANALYSIS AND RESOLUTION FOR THE DEVICE DESCRIBED IN THIS REPORT.
MANUFACTURER REFERENCE # (B)(4).
AT THE TIME OF THIS REPORT, THE INVESTIGATION IS STILL ONGOING. WHEN THE INVESTIGATION IS COMPLETE THE REPORT WILL BE UPDATED AND A FOLLOW UP MEDWATCH WILL BE SUBMITTED.
THE FOLLOWING WAS REPORTED TO US. DURING A SURGERY A PART OF THE TABLES BASE WAS LIFTED OFF THE FLOOR. A NURSE STUCK HER FOOT IN THE GAP BETWEEN FLOOR AND OR TABLE. NEXT THE TABLES' BASE FELL DOWN ON THE FLOOR. THE NURSE WAS INJURED AND RECEIVED A FRACTURE ON ONE OF THE TOES. MANUFACTURER REFERENCE # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1527611 | MEERA EU WITHOUT AUTO DRIVE | TABLE, OPERATING-ROOM, AC-POWERED | FQO | HOLGER ULLRICH | 720001B0 | N/A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Female | Other |