BEUDAMED
    FDA Adverse Event Other Summary report: N

    STILLE BETA

    MDR report key: 224206 · Received May 18, 1999

    Report

    Report Number
    MW1016346
    Event Type
    Other
    Date Received
    May 18, 1999
    Date of Event
    April 8, 1999
    Report Date
    May 10, 1999
    Manufacturer
    STILLE BETA, INC.
    Product Code
    FQO
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    OR TABLE AT FACILITY FOR TRIAL PERIOD. NEW MODEL 4133 PENDING. ON 4/8/99, TABLE WAS IN USE. PT NEEDED REPOSITIONING. THE "TURN/TILT" FUNCTION OF TABLE FAILED. ALL FUNCTIONS FAILED EXCEPT UP AND DOWN. IDENTIFIED PROBLEMS: ISSUES WITH THE "LOCKING MICRO SWITCH" AND MECHANISM; INACCESSIBILITY OF "OVERRIDE BOX MECHANISM". TABLE REMOVED FROM FACILITY. NEW MODEL 4133 PENDING, FUTURE MODEL TO ENCOMPASS FACILITY ENGINEER'S RECOMMENDATIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STILLE BETA 4 WAY FLOAT OR TABLE FQO STILLE BETA, INC. 4133-1 *

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Other