BEUDAMED
    FDA Adverse Event Other Summary report: N

    HYDRADJUST UROLOGICAL TABLE

    MDR report key: 266319 · Received February 25, 2000

    Report

    Report Number
    1518293-2000-00001
    Event Type
    Other
    Date Received
    February 25, 2000
    Date of Event
    January 24, 2000
    Report Date
    February 25, 2000
    Manufacturer
    LIEBEL-FLARSHEIM COMPANY
    Product Code
    BWN
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    A PT WAS THROWN TO THE FLOOR WHEN THE TILT CYLINDER ROD SEPARATED FROM ITS MOUNTING BLOCK. THE PT WAS ON THE TABLE IN A VERTICAL POSITION, WITH FEET ON THE FOOTREST WHEN THE TABLE PITCHED FORWARD AS A RESULT OF THE ABOVE-STATED CONDITION. THE TUB ARM HIT THE FLOOR STOPPING THE MOTION. BECAUSE THE PT WAS CONSCIOUS, PT WAS ABLE TO BREAK HIS FALL AND ONLY SUFFERED BRUISES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HYDRADJUST UROLOGICAL TABLE GENERAL SURGICAL TABLE BWN LIEBEL-FLARSHEIM COMPANY HYDRADJUST IV *

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Other