BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GENERAL SURGICAL TABLE

    MDR report key: 3944606 · Received July 14, 2014

    Report

    Report Number
    MW5037284
    Event Type
    Malfunction
    Date Received
    July 14, 2014
    Date of Event
    July 8, 2014
    Report Date
    July 11, 2014
    Manufacturer
    STERIS
    Product Code
    FQO
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE PT WAS POSITIONED ON THE BED WITH THE BASE OF THE BED EXTENDED THE FOOT TO MAKE ROOM FOR THE SURGEON TO STAND AT THE HEAD. WHEN WE UNLOCKED THE BED TO SPIN IT 90 DEGREES IT STARTED TO TIP HEAD FIRST. THE OPERATING ROOM TEAM GRABBED THE FOOT OF THE BED AND THE HEAD OF THE BED AND SAVED THE PT FROM TIPPING ON HEAD. THE BED WAS LOCKED DOWN AND THE BASE WAS EXTENDED BACK TO CENTER. NO INJURY OCCURED. IT WAS A CLOSE CALL AND WAS AVOIDED BY THE QUICK REACTIONS OF THE OPERATING ROOM CREW.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    410128 GENERAL SURGICAL TABLE GENERAL SURGICAL TABLE FQO STERIS 4085

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR