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