FDA Adverse Event
Injury
Summary report: N
SST (500 LBS) W/GIMBALS & SHEARGUARD GEL PADS W/MODULAR CART
MDR report key: 3244944
·
Received December 17, 2012
Report
- Report Number
- 2921578-2012-00024
- Event Type
- Injury
- Date Received
- December 17, 2012
- Report Date
- November 16, 2012
- Manufacturer
- MIZUHO OSI
- Product Code
- JEA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE CUSTOMER IS COMPLAINING THAT WHEN THEY USE THE 5943 MIZUHO OSI SPINAL SURGICAL TABLE, PTS ARE EXPERIENCING SKIN ULCERS ON THEIR CHEST AFTER SURGERY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SST (500 LBS) W/GIMBALS & SHEARGUARD GEL PADS W/MODULAR CART | TABLE, SURGICAL WITH ORTHOPEDIC ACCESSORIES, AC-POWERED | JEA | MIZUHO OSI | 5943 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |