FDA Adverse Event Other Summary report: N

AXIS JACKSON TABLE SYSTEM

MDR report key: 1434872 · Received July 6, 2009

Report

Report Number
2921578-2009-00007
Event Type
Other
Date Received
July 6, 2009
Report Date
June 7, 2009
Manufacturer
MIZUHO OSI
Product Code
JEA
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DURING TRANSFER OF A PATIENT, THE DOCTOR TURNED HIS WRIST. THE WRIST BECAME TURNED WHILE RAISING THE PATIENT OVER THE CHEST PAD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AXIS JACKSON TABLE SYSTEM OPERATING ROOM TABLE JEA MIZUHO OSI 6977

Patients

Seq Age Sex Outcome Treatment
1 ADVANCED CONTROL BASE, MODEL 5803