BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BERCHTOLD D850 SURGICAL TABLE

    MDR report key: 3050266 · Received April 4, 2013

    Report

    Report Number
    MW5029680
    Event Type
    Malfunction
    Date Received
    April 4, 2013
    Date of Event
    February 27, 2013
    Report Date
    April 4, 2013
    Manufacturer
    BERCHTOLD CORP
    Product Code
    GDC
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THERE WAS INTENDED UP AND DOWN MOVEMENT OF THE HEAD AND NECK FUNCTION ON THE BERCHTOLD D850 SURGICAL TABLE USED DURING A SURGICAL CASE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    137788 BERCHTOLD D850 SURGICAL TABLE BERCHTOLD D850 SURGICAL TABLE GDC BERCHTOLD CORP BERCHTOLD D850

    Patients

    Seq Age Sex Outcome Treatment
    1 Other