BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    1043572-1999-00006

    MDR report key: 257234 · Received December 28, 1999

    Report

    Report Number
    1043572-1999-00006
    Event Type
    Malfunction
    Date Received
    December 28, 1999
    Date of Event
    October 4, 1999
    Report Date
    October 5, 1999
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    AT THE END OF A PROCEDURE (RODDING OF LEFT HUMERUS W/C-ARM COVERAGE), WITH THE PATIENT SUPINE AND THE TABLE IN REVERSE ORIENTATION, IT WAS REPORTED THAT THE LEG SECTION OF THE TABLE FELL. THE ANESTHESIOLOGIST CAUGHT THE PATIENT, THE LEG SECTION WAS SUPPORTED WITH A STOOL AND THE PROCEDURE WAS COMPLETED. X-RAYS WERE TAKEN OF THE PATIENT FROM THE NECK TO THE TAILBONE, RESULTS NEGATIVE.

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR