BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SKYTRON

    MDR report key: 4210250 · Received October 21, 2014

    Report

    Report Number
    1825014-2014-00015
    Event Type
    Injury
    Date Received
    October 21, 2014
    Date of Event
    October 1, 2014
    Report Date
    October 16, 2014
    Manufacturer
    MIZUHO
    Product Code
    BWN
    Adverse Event
    Yes
    Report Source
    Distributor report

    Narratives

    Description of Event or Problem · 1

    THE PT WA REVERSED ON THE TABLE AND THE PT'S WEIGHT WAS NOT EVENLY DISTRIBUTED. THIS LEAD TO THE TABLE TIPPING AND REQUIRED THE HOSPITAL STAFF TO CATCH THE PT TO PREVENT INJURY TO THE PT. HOSPITAL STAFF RECOGNIZED IMPROPER USE WAS THE CONTRIBUTING FACTOR TO THE INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    670252 SKYTRON SURGICAL TABLE BWN MIZUHO 3502

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention