FDA Adverse Event
Injury
Summary report: N
MAQUET OR TABLE SYSTEM MAGNUS
MDR report key: 4366313
·
Received December 17, 2014
Report
- Report Number
- 3008355164-2014-00371
- Event Type
- Injury
- Date Received
- December 17, 2014
- Date of Event
- November 19, 2014
- Report Date
- November 19, 2014
- Manufacturer
- MAQUET GMBH
- Product Code
- FQO
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- SC, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
DURING SURGERY THE TABLE TOP STOPPED RESPONDING WHEN THE WIRELESS HAND CONTROLLER WAS DEPRESSED. A WIRED HAND CONTROLLER WAS THEN USED AND THE TABLE STARTED TO RESPOND ONLY AFTER SEVERAL ATTEMPTS WERE MADE. THE PATIENT WAS MOVED TO ANOTHER TABLE. THIS CAUSED A DELAY IN THE PROCEDURE. THE PROCEDURE COULD BE FINALIZED SUCCESSFULLY WITH NO INJURY TO THE PATIENT. (B)(4). MFR REF#8010652-2014-00022.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 829249 | MAQUET OR TABLE SYSTEM MAGNUS | TABLE, OPERATING-ROOM, AC-POWERED | FQO | MAQUET GMBH | 1180.10F0 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 58 YR | Required Intervention |