BEUDAMED
    FDA Adverse Event Other Summary report: N

    MULTISCAN TABLE

    MDR report key: 2835359 · Received November 5, 2012

    Report

    Report Number
    1932056-2012-00006
    Event Type
    Other
    Date Received
    November 5, 2012
    Date of Event
    October 25, 2012
    Report Date
    November 5, 2012
    Manufacturer
    MEDICAL POSITIONING, INC.
    Product Code
    LGX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UT, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    THE BED WAS IN IT'S LOWEST HEIGHT AND IN A HORIZONTAL POSITION. AS THE TECHNICIAN BEGAN TO RAISE THE HEIGHT OF THE BED, THE HEAD PORTION OF THE BED TILTED DOWN DUE TO THE TRENDELENBURG ACTUATOR CLEVIS BREAKING AND RELEASING. AS A RESULT, THE PATIENT SLID TOWARD THE HEAD OF THE BED FORCING HIS LEGS UPWARD BUT DID NOT FALL OFF THE BED. THE PATIENT SUFFERS WITH BACK PAIN WHICH SEEM TO BE AGGRAVATED BY THE INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MULTISCAN TABLE MULTISCAN TABLE LGX MEDICAL POSITIONING, INC. 8083

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Other