BEUDAMED
    FDA Adverse Event Other Summary report: N

    1043572-2003-00007

    MDR report key: 490671 · Received September 24, 2003

    Report

    Report Number
    1043572-2003-00007
    Event Type
    Other
    Date Received
    September 24, 2003
    Date of Event
    August 8, 2003
    Report Date
    September 23, 2003
    Manufacturer
    STERIS CORP - MONTGOMERY
    Product Code
    FQO
    Report Source
    Manufacturer report

    Narratives

    Description of Event or Problem · 1

    PT UNDER GOING LAPAROSCOPIC APPENDECTOMY. PT STRAPPED ACROSS THIGH AREA. DURING PROCEDURE, TABLE PLACED IN TRENDELENBURG WITH LEFT SIDE DOWN TO ALLOW FOR VISUALIZATION. THE PT SLID FROM THE TABLE. THE SLIDE WAS CONTROLLED BY O.R. STAFF AND PT DID NOT DISLODGE ENDO TUBE OR IV'S. NO APPARENT INJURY. PT MOVED TO ANOTHER TABLE. STERIS REP CAME IN 8/2003 TO EVALUATE TABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FQO STERIS CORP - MONTGOMERY NA

    Patients

    Seq Age Sex Outcome Treatment
    1