BEUDAMED
    FDA Adverse Event Other Summary report: N

    60" ATLAS TRANSFER CARRIAGE

    MDR report key: 1277511 · Received November 14, 2008

    Report

    Report Number
    2515984-2008-00015
    Event Type
    Other
    Date Received
    November 14, 2008
    Date of Event
    October 2, 2008
    Report Date
    January 14, 2008
    Manufacturer
    STERIS MEXICO S. DE R.L. DE C.V
    Product Code
    FLE
    PMA / PMN Number
    NA
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NM, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Additional Manufacturer Narrative · 1

    A STERIS SERVICE TECHNICIAN VISITED THE HOSPITAL AND DETERMINED THE WHEEL CAME LOOSE FROM THE CART AND, CAUSED IT TO TIP OVER. THE CART IS TWO YEARS OLD. IT WAS MANUFACTURED ON (B) (6) 2006. NO SERIOUS INJURY WAS SUSTAINED AS A RESULT OF THE INCIDENT.

    Description of Event or Problem · 1

    WHEN MOVING A LOADED TRANSFER CART, A WHEEL CAME LOOSE CAUSING THE CART TO TIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 60" ATLAS TRANSFER CARRIAGE TRANSFER CARRIAGE FLE STERIS MEXICO S. DE R.L. DE C.V 4011199 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Required Intervention