FDA Adverse Event
Malfunction
Summary report: N
40695 THE PINK PAD XL - ADVANCED TRENDELENBURG POSITIONING KIT - BIODEGRADABLE
MDR report key: 22318659
·
Received June 24, 2025
Report
- Report Number
- 22318659
- Event Type
- Malfunction
- Date Received
- June 24, 2025
- Date of Event
- May 23, 2025
- Report Date
- June 10, 2025
- Manufacturer
- XODUS MEDICAL, INC.
- Product Code
- CCX
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
PATIENT WAS PLACED ON THE XODUS MEDICAL "THE PINK PAD" IN PREPARATION FOR POSITIONING FOR SURGERY. SURGERY STARTED IN A LOW LITHOTOMY TRENDELENBURG POSITION. UPON REPOSITIONING OF TABLE OUT OF TRENDELENBURG AND PRIOR TO DOCKING THE SURGICAL ROBOT IT APPEARED THAT THE PATIENT SLID WHILE IN THE TRENDELENBURG POSITION. PATIENT POSITIONING WAS REEVALUATED UNDER THE SURGICAL DRAPES AND IT WAS DETERMINED THAT PATIENT HAD SLID APPROXIMATELY 1 FOOT WITH BUTTOCKS COMPLETELY OFF THE BED. THE PINK PAD APPEARED TO BE COMING APART AND OR SHREDDING UNDER PATIENT. THE PATIENT WAS SUBSEQUENTLY REPOSITIONED USING THE PINK PAD LIFT SHEET.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1941996 | 40695 THE PINK PAD XL - ADVANCED TRENDELENBURG POSITIONING KIT - BIODEGRADABLE | SUPPORT, PATIENT POSITION | CCX | XODUS MEDICAL, INC. | 40695 | 250306 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR | Female |