FDA Adverse Event Injury Summary report: N

OPERON

MDR report key: 2498312 · Received March 14, 2012

Report

Report Number
8010153-2012-00001
Event Type
Injury
Date Received
March 14, 2012
Date of Event
January 17, 2012
Report Date
March 12, 2012
Manufacturer
BERCHTOLD GMBH & CO. KG
Product Code
FWY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

THE HEAD SECTION WAS EVALUATED BY A BERCHTOLD FIELD SERVICE REPRESENTATIVE ON JANUARY 20, AND FOUND TO BE OPERATING AS DESIGNED.

Description of Event or Problem · 1

A NURSE REMOVED THE HEAD SECTION OF A SURGICAL TABLE AND PLACED IT UPSIDE DOWN ON TOP OF THE TABLE. WHILE DOING THIS, HER FINGER WAS BETWEEN THE TWO PIECES OF THE HEAD SECTION¿S RADIOLUCENT TOP, AND SHE ACCIDENTALLY HIT THE GAS SHOCK RELEASE LEVER. THIS RESULTED IN A BROKEN INDEX FINGER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OPERON SURGICAL TABLE FWY BERCHTOLD GMBH & CO. KG D820

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention