BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 3672069 · Received February 21, 2014

    Report

    Report Number
    3672069
    Event Type
    Malfunction
    Date Received
    February 21, 2014
    Date of Event
    February 21, 2014
    Report Date
    February 21, 2014
    Manufacturer
    SKYTRON, DIVISION OF KMW GROUP
    Product Code
    GDC
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US

    Narratives

    Description of Event or Problem · 1

    THE OPERATING BED WOULD NOT SLIDE AND IT WAS SHIMMYING. THE HAND PIECE WAS ALSO BROKEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    109025 * TABLE, OPERATING-ROOM GDC SKYTRON, DIVISION OF KMW GROUP 3501B EZ SLIDE *

    Patients

    Seq Age Sex Outcome Treatment
    1 0 * PATIENT WAS BROUGHT INTO THE OPERATING ROOM.| THE BED WAS EMPTY AND BEING TESTED BEFORE A