BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAQUET

    MDR report key: 1342250 · Received March 4, 2009

    Report

    Report Number
    1342250
    Event Type
    Malfunction
    Date Received
    March 4, 2009
    Date of Event
    September 24, 2008
    Report Date
    March 4, 2009
    Manufacturer
    GETINGE USA, INC.
    Product Code
    FQO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT MOVED FROM STRETCHER TO OR TABLE. OR TABLE IN REVERSE BACKED POSITION FOR SURGERY TO ACCOMMODATE C-ARM. TABLE BROKE AT THE BRACKET SUPPORTING NECK AND BACK. PATIENT ASSISTED BACK TO STRETCHER. TABLE CAN HOLD 500 POUNDS IN REVERSE POSITION; PT WEIGHS 318 POUNDS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAQUET TABLE, OR FQO GETINGE USA, INC. 1132-03B3 *

    Patients

    Seq Age Sex Outcome Treatment
    1 32 YR