BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AMSCO 3085 SP SURGICAL TABLE

    MDR report key: 1678022 · Received May 5, 2010

    Report

    Report Number
    MW5015825
    Event Type
    Injury
    Date Received
    May 5, 2010
    Date of Event
    April 14, 2010
    Report Date
    April 29, 2010
    Manufacturer
    STERIS
    Product Code
    JEB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    UPON UNLOCKING BED, USING MANUAL RELEASE, POST PROCEDURE AND PRIOR TO TURNING PT, FROM THE 9 O'CLOCK POSITION TO THE 12 O'CLOCK POSITION, SO AS TO REVERSE HER SEDATION THE BED BEGAN TO TIP HEAD FIRST RESULTING IN THE PT'S HEAD HITTING THE FLOOR AND THE BASE OF THE BED ENDING UP IN THE AIR. PT REMAINED SECURED ON THE TABLE AND WAS REMOVED TO A LITER. NO HARM TO THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AMSCO 3085 SP SURGICAL TABLE JEB STERIS 3085 SP

    Patients

    Seq Age Sex Outcome Treatment
    1 24 YR Hospitalization