FDA Adverse Event Injury Summary report: N

ALLEN MEDICAL SYSTEMS

MDR report key: 1359116 · Received April 7, 2009

Report

Report Number
1221538-2009-00003
Event Type
Injury
Date Received
April 7, 2009
Date of Event
May 8, 2008
Report Date
April 7, 2009
Manufacturer
ALLEN MEDICAL SYSTEMS
Product Code
EYD
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
ATTORNEY

Narratives

Additional Manufacturer Narrative · 1

AT THE TIME OF THIS REPORT, THE DEVICE HAS NOT BEEN RETURNED FOR EVALUATION. CO HAS NOT RECEIVED PHOTOGRAPHS OF THE DEVICE WHICH MAY HELP US UNDERSTAND THE NATURE OF THE COMPLAINT. IN LEGAL DOCUMENTS, THE SERIAL NUMBER PROVIDED FOR THE PRODUCT WAS REPORTED INCORRECTLY. (THE DEVICE IS ASSOCIATED WITH A RAIL CLAMP PRODUCT AND NOT A STIRRUP.) DUE TO THE LACK OF INFO, NO CONCLUSIONS CAN BE MADE AT THIS TIME.

Description of Event or Problem · 1

IN 2009, ALLEN MEDICAL LEARNED OF A LAWSUIT FILED REGARDING A PREVIOUSLY UNREPORTED 2008 INCIDENT INVOLVING A NURSE FROM MEDICAL CENTER. THERE WAS NO PT INVOLVEMENT. ACCORDING TO THE LEGAL COMPLAINT, THE NURSE "LIFTED UPON THE STIRRUP TO REMOVE IT FROM THE OPERATING TABLE. AS SHE LIFTED THE STIRRUP OUT OF THE SLOT ON THE OPERATING TABLE, THE STIRRUP UNEXPECTEDLY AND WITHOUT WARNING ENGAGED CAUSING THE STIRRUP TO SNAP SHUT ON PLAINTIFF'S LEFT HAND." ACCORDING TO THE DOCUMENT, "SEVERE AND PERMANENT INJURIES" WERE SUSTAINED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ALLEN MEDICAL SYSTEMS YELLOFIN STIRRUP EYD ALLEN MEDICAL SYSTEMS O-YFASI

Patients

Seq Age Sex Outcome Treatment
1 NA Disability