BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ALLEN MEDICAL SYSTEMS

    MDR report key: 358334 · Received October 25, 2001

    Report

    Report Number
    MW1023208
    Event Type
    Injury
    Date Received
    October 25, 2001
    Date of Event
    January 5, 2000
    Report Date
    October 25, 2001
    Manufacturer
    ALLEN MEDICAL SYSTEMS
    Product Code
    EYD
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT WAS IN OPERATING ROOM. THE HYDRAULIC STIRUP WAS LAYING ON THE FLOOR. WHEN PT WAS INSTALLING ON TABLE, LEFT RING AND INDEX FINGERS GOT CAUGHT IN THE UPPER PORTION OF THE STIRUP. THE STIRUP COULD NOT BE REMOVED EASILY, SO PT WAS TAKEN TO THE EMERGENCY ROOM. THE STIRUP WAS REMOVED AND PT WAS SENT FOR PHYSICAL THERAPY FOLLOW-UP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    47960 ALLEN MEDICAL SYSTEMS GYN STIRRUP EYD ALLEN MEDICAL SYSTEMS 10023 *

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR Other| R