BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TOSHIBA

    MDR report key: 1651100 · Received April 1, 2010

    Report

    Report Number
    MW5015412
    Event Type
    Injury
    Date Received
    April 1, 2010
    Date of Event
    March 12, 2010
    Report Date
    March 22, 2010
    Manufacturer
    TOSHIBA MED SYSTEMS CORP.
    Product Code
    KXJ
    Report Source
    Voluntary report
    Reporter Location
    OR, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHILE TRANSFERRING AN INTUBATED PT FROM THE ICU BED TO THE ANGIO TABLE, THE ANGIO TABLE PIVOTED AWAY FROM THE PT'S BED. THE PT BEGAN TO FALL TO THE FLOOR, AND HAD TO BE LOWERED BY THE IR TEAM TO THE FLOOR. A HOYER LIFT WAS USED TO GET THE PT FROM THE FLOOR, TO THE ANGIO TABLE. THE PT COULD HAVE BEEN INADVERTENTLY EXTUBATED DURING THIS ADVERSE EVENT WITH SEVER CONSEQUENCES. TABLE RE-DESIGN MAY BE NECESSARY TO REQUIRE MORE LATERAL FORCE TO INDUCE ROTATION AND/OR A MECHANICAL LOCK TO LOCK TABLE TO PREVENT ROTATION. DATES OF USE: (B) (6) 2010.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TOSHIBA CATHETERIZATION TABLE KXJ TOSHIBA MED SYSTEMS CORP. CAT-850B AUG 09

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Life Threatening| R