BEUDAMED
    FDA Adverse Event Other Summary report: N

    MAQUET

    MDR report key: 15573 · Received July 14, 1994

    Report

    Report Number
    15573
    Event Type
    Other
    Date Received
    July 14, 1994
    Date of Event
    March 4, 1994
    Report Date
    March 16, 1994
    Manufacturer
    HERAEUS SURGICAL, INC.
    Product Code
    JEA
    Report Source
    User Facility report
    Reporter Location
    VA, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    THE PATIENT WAS POSITIONED ON MAQUET TABLE UNDER SPINAL ANESTHESIA. GROIN INCISION PROCEDURE BEGAN AND SUDDENLY THE EXTENSION SECTION OF TABLE WAS LOWERING DOWN AND FALLING OFF THE MAIN TABLE. THE PATIENT HAD A FALLL ON THE UPPER HALF OF HER BODY WHICH WAS SOMEWHAT CUSHIONED TO THE FLOOR. ALSO, THE WEIGHT OF THE PATIENT AND THE FALLEN PART OF TABLE CAUSED INJURY TO 4 STAFF MEMBERS WHO TRIED TO HOLD UP THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAQUET SURGICAL TABLE JEA HERAEUS SURGICAL, INC. 113001D

    Patients

    Seq Age Sex Outcome Treatment
    1 73 * Other