BEUDAMED
    FDA Adverse Event Other Summary report: N

    MAQUET

    MDR report key: 473835 · Received July 25, 2003

    Report

    Report Number
    8010652-2003-00006
    Event Type
    Other
    Date Received
    July 25, 2003
    Date of Event
    August 21, 2002
    Report Date
    July 23, 2003
    Manufacturer
    MAQUET GMBH AND CO. KG
    Product Code
    FQO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A WEBSITE MESSAGE WAS RECEIVED FROM A USER FACILITY WITH INFORMATION ABOUT A PATIENT FALLING OFF OF A SURGICAL TABLE. A PATIENT'S RIGHT LEG WAS IN A TRACTION BOOT AND THE LEFT LEG WAS POSITIONED IN A STIRRUP. ADDITIONALLY, IT WAS DESCRIBED THAT THE PATIENT'S RIGHT ARM WAS SECURED WITH A STRAP ACROSS THEIR CHEST. THE PATIENT REPORTEDLY ROLLED OFF THE RIGHT SIDE OF THE TABLE AND ONTO THE FLOOR. THIS HAPPENED WHEN BOTH THE NURSE AND THE DOCTOR WERE TURNED AWAY FROM THE PATIENT. PREPARING OTHER EQUIPMENT. INFORMATION REGARDING POSSIBLE INJURIES TO THE PATIENT WERE NOT RELEASED AND CURRENTLY UNKNOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAQUET SURGICAL TABLE FQO MAQUET GMBH AND CO. KG 1420.02D0 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other