BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ALLEN

    MDR report key: 18038393 · Received October 31, 2023

    Report

    Report Number
    18038393
    Event Type
    Malfunction
    Date Received
    October 31, 2023
    Date of Event
    April 3, 2023
    Report Date
    September 15, 2023
    Manufacturer
    ALLEN MEDICAL SYSTEMS, INC.
    Product Code
    FWZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    PATIENT ON OPERATING ROOM TABLE IN STIRRUPS, SLID DOWN DURING PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2124872 ALLEN OPERATING ROOM ACCESSORIES TABLE TRAY FWZ ALLEN MEDICAL SYSTEMS, INC. 102001

    Patients

    Seq Age Sex Outcome Treatment
    1 27010 DA Female