BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAGNET OPERATING ROOM BED

    MDR report key: 31724 · Received April 3, 1996

    Report

    Report Number
    MW1008802
    Event Type
    Malfunction
    Date Received
    April 3, 1996
    Date of Event
    July 26, 1995
    Report Date
    March 25, 1996
    Manufacturer
    HERAEUS SURGICAL, INC.
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PATIENT ANESTHETIZED AND INTUBATED. HEAD OF TABLE RELEASED WITHOUT ANYONE RELEASING THE GEARS. PT'S HEAD HYPEREXTENDED. PT REQUIRED X-RAY AND AN COLLAR. NO KNOWN INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAGNET OPERATING ROOM BED OPERATING ROOM BED FPO HERAEUS SURGICAL, INC. 1130 OID

    Patients

    Seq Age Sex Outcome Treatment
    1 11 YR Other