BEUDAMED
    FDA Adverse Event Other Summary report: N

    ECHOBED

    MDR report key: 2354841 · Received November 9, 2011

    Report

    Report Number
    1932056-2011-00006
    Event Type
    Other
    Date Received
    November 9, 2011
    Date of Event
    November 7, 2011
    Report Date
    November 9, 2011
    Manufacturer
    MEDICAL POSITIONING, INC.
    Product Code
    LGX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    MPI IS CURRENTLY WORKING WITH THE CUSTOMER TO HAVE THE DEVICE (OR AT MINIMUM THE AFFECTED PART(S) RETURNED FOR EVAL. AT THE TIME OF THIS REPORT MPI HAD NOT RECEIVED THE PART(S) AND THUS WAS NOT ABLE TO FULLY EVALUATE THE DEVICE TO DETERMINE WHETHER THE DAMAGE WAS CAUSED BY MISUSE OR BY FAULTY DESIGN/MANUFACTURE. ONCE THE DEVICE IS RETURNED TO MPI A FULL INVESTIGATION WILL TAKE PLACE.

    Description of Event or Problem · 1

    AN EMPLOYEE OF THE HOSP WAS PULLING ON THE TABLE WHEN A WELDMENT BROKE WHICH CAUSED THE HEAD END OF THE TABLE TO RAPIDLY FALL TO THE GROUND. WHILE NO PT WAS PRESENT DURING THE INCIDENT, IF A PT HAD BEEN ON THE PRODUCT WHEN THIS HAPPENED, THERE IS A POSSIBILITY OF SERIOUS INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ECHOBED ECHOBED LGX MEDICAL POSITIONING, INC. 1233

    Patients

    Seq Age Sex Outcome Treatment
    1 Other