BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MEDICAL EXAM TABLE

    MDR report key: 31236 · Received March 14, 1996

    Report

    Report Number
    MW1008632
    Event Type
    Malfunction
    Date Received
    March 14, 1996
    Date of Event
    February 13, 1996
    Report Date
    March 13, 1996
    Manufacturer
    MDT BIOLOGIC CO.
    Product Code
    LGX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    ID, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT WAS LYING ON EXAM TABLE PRIOR TO THE PROCEDURE. THE TABLE TILTED SUDDENLY CAUSING THE PT TO SLIDE RAPIDLY DOWN THE TABLE HEAD FIRST. AS A RESULT, THE PT HIT HER HEAD AGAINST THE WALL. IT IS SUSPECTED THAT THE HYDRAULIC CYLINDER BROKE (ACCORDING TO MAINTENANCE STAFF). IT WAS MOST LIKELY THE MECHANISM INSIDE THE CYLINDER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDICAL EXAM TABLE MEDICAL EXAM TABLE LGX MDT BIOLOGIC CO. F

    Patients

    Seq Age Sex Outcome Treatment
    1 *