BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PHILIPS SURGICAL TABLE

    MDR report key: 1564884 · Received December 29, 2009

    Report

    Report Number
    MW5014086
    Event Type
    Malfunction
    Date Received
    December 29, 2009
    Date of Event
    October 5, 2009
    Report Date
    December 29, 2009
    Manufacturer
    SKYTRON
    Product Code
    FWX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    OPERATING ROOM BED (SKYTRON) ALLEGEDLY MALFUNCTIONED DURING THE ADMINISTRATION OF SPINAL ANESTHESIA FOR A C-SECTION, INJURING THE ANESTHESIOLOGIST. PT PLACED ON TABLE & POSITIONED IN TRENDELENBURG; THE ANESTHESIOLOGIST TURNED TO GET SOMETHING AND NOTICED THE TABLE LOSING ITS POSITION, SO HE PUSHED THE BUTTON TO GET BACK INTO POSITON AND THE TABLE LOST A LOT OF OIL THEN DROPPING THE PT QUICKLY. THE PHYSICIAN HELD THE BED IN POSITION SO THAT THE PT WOULD NOT BE INJURED, SUBSEQUENTLY INJURING HIMSELF (SHOULDER/UPPER-ARM INJURY).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHILIPS SURGICAL TABLE SKYTRON DIV THE KMW GROUP - ULTRASLIDE FWX SKYTRON 6002B

    Patients

    Seq Age Sex Outcome Treatment
    1 30 YR