FDA Adverse Event
Injury
Summary report: N
SHAMPAINE OPERATING ROOM TABLE
MDR report key: 2003614
·
Received February 18, 2011
Report
- Report Number
- MW5019545
- Event Type
- Injury
- Date Received
- February 18, 2011
- Date of Event
- February 2, 2011
- Report Date
- February 18, 2011
- Manufacturer
- GETINGE - CASTLE USA, INC
- Product Code
- FQO
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NY, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
THIS OPERATING ROOM TABLE WAS IN USE WITH AN OBSTETRICS PT. THE PT WAS BEING PREPARED FOR A CESAREAN SECTION, TO BE PERFORMED UNDER SPINAL ANESTHESIA. THE PT WAS BROUGHT TO THE OB OPERATING ROOM AND WAS POSITIONED ON THE OPERATING ROOM TABLE FOR THE INTRODUCTION OF THE SPINAL ANESTHESIA. THE TABLE DID NOT SUPPORT THE WEIGHT OF THE PT. THE HEAD PART OF THE TABLE WENT DOWN CAUSING A HIGH SPINAL TO BE ADMINISTERED. ON REVIEW: THE O.B. OPERATING ROOM TABLE WAS REMOVED AND SENT TO THE DISTRIBUTOR FOR REPAIR. AN ALTERNATE MODEL WAS DELIVERED AND IS IN USE WITHOUT INCIDENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SHAMPAINE OPERATING ROOM TABLE | NONE | FQO | GETINGE - CASTLE USA, INC | 5100B |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 23 YR | Disability |