BEUDAMED
    FDA Adverse Event Other Summary report: N

    HUT IV HYDRADJUST TABLE

    MDR report key: 309772 · Received December 22, 2000

    Report

    Report Number
    1518293-2000-00020
    Event Type
    Other
    Date Received
    December 22, 2000
    Report Date
    December 19, 2000
    Manufacturer
    LIEBEL-FLARSHEIM COMPANY
    Product Code
    BWN
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    TABLE MOVED WITHOUT USE OF FOOTSWITCH UNTIL TABLE TOTALLY VERTICAL. PATIENT FELL OFF TABLE AND WAS CAUGHT BY TECHNICIANS.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN