BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TABLE, HANA, 110 V

    MDR report key: 14640368 · Received June 8, 2022

    Report

    Report Number
    2921578-2022-00009
    Event Type
    Injury
    Date Received
    June 8, 2022
    Date of Event
    April 30, 2021
    Report Date
    August 29, 2022
    Manufacturer
    MIZUHO OSI
    Product Code
    JEA
    UDI-DI
    00842430108747
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    003

    Narratives

    Additional Manufacturer Narrative · 0

    AFTER SEVERAL COMMUNICATION ATTEMPTS WITH THE HOSPITAL PERSONNEL, NO INFORMATION WAS ABLE TO BE OBTAINED REGARDING THE PRODUCT IN THE SCOPE OF THE COMPLAINT OR THE POTENTIAL ADVERSE EVENT.

    Description of Event or Problem · 0

    IT WAS REPORTED THAT A PATIENT FELL FROM THE TABLE AFTER SURGERY.

    Description of Event or Problem · 0

    IT WAS REPORTED THAT A PATIENT FELL FROM THE TABLE AFTER SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2420398 TABLE, HANA, 110 V OPERATING TABLE JEA MIZUHO OSI 6875 00842430108747

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Other