BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MIZUHO OSI HANA TABLE

    MDR report key: 16953652 · Received May 17, 2023

    Report

    Report Number
    MW5117644
    Event Type
    Injury
    Date Received
    May 17, 2023
    Date of Event
    May 13, 2023
    Report Date
    May 15, 2023
    Manufacturer
    MIZUHO ORTHOPEDIC SYSTEMS, INC.
    Product Code
    JEA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    RISK MANAGER
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    EQUIPMENT MALFUNCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    650577 MIZUHO OSI HANA TABLE TABLE, SURGICAL WITH ORTHOPEDIC ACCESSORIES, AC-POWERED JEA MIZUHO ORTHOPEDIC SYSTEMS, INC. 6875 2015-1116

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Required Intervention