BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    THERAFIN SLIDING BOARD

    MDR report key: 1288103 · Received January 13, 2009

    Report

    Report Number
    MW5009612
    Event Type
    Malfunction
    Date Received
    January 13, 2009
    Date of Event
    November 30, 2008
    Report Date
    January 13, 2009
    Manufacturer
    THERAFIN
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    TRANSFERRED PATIENT USING SLIDING BOARD. PATIENT HAD PAPER DISPOSABLE PANTS ON. WHEN SLIDING DURING TRANSFER, A PIECE OF WOOD FROM THE BOARD BROKE OFF AND PINCHED THROUGH PATIENT'S SKIN ON RIGHT SIDE OF BUTTOCK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 THERAFIN SLIDING BOARD SLIDING BOARD IKX THERAFIN

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Other