BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MAQUET, MOBILE OR TABLE ALPHASTAR

    MDR report key: 4365327 · Received December 17, 2014

    Report

    Report Number
    3008355164-2014-00393
    Event Type
    Injury
    Date Received
    December 17, 2014
    Date of Event
    May 11, 2012
    Report Date
    May 11, 2012
    Manufacturer
    MAQUET GMBH,
    Product Code
    FQO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A MAQUET OPERATING TABLE SLOWLY LOWERED DURING A HIP SURGERY IN OPERATING ROOM NUMBER 1. THE RIGHT SIDE ADAPTER BECAME DETACHED FROM THE TABLE, WHICH ALLOWED THE LEG EXTENSION PIECE TO SLIDE SIDEWAYS OUT OF THE LEFT SIDE ADAPTER AND FALL TO THE FLOOR. THIS ALSO CAUSED THE PATIENT TO FALL. THE EVENT OCCURRED AFTER THE PATIENT WAS ANESTHETIZED AND INTUBATED, BUT PRIOR TO PREPPING AND DRAPING. THE PATIENT EXPERIENCED BRUISING AND SORENESS OF THE LOWER BACK AND ARM. THE SURGERY WAS ALSO CANCELLED DUE TO THE REPORTED PROBLEM. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    829284 MAQUET, MOBILE OR TABLE ALPHASTAR FQO MAQUET GMBH, 1132.11B2

    Patients

    Seq Age Sex Outcome Treatment
    1 29 YR Other