BEUDAMED
    FDA Adverse Event Other Summary report: N

    SURGICAL TABLE

    MDR report key: 492449 · Received October 15, 2003

    Report

    Report Number
    MW1029864
    Event Type
    Other
    Date Received
    October 15, 2003
    Date of Event
    October 7, 2003
    Report Date
    October 15, 2003
    Manufacturer
    SKYTRON
    Product Code
    FQO
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    THE PT WAS IN SURGERY UNDERGOING A PROCEDURE AND PLACED ON A SKYTRON TABLE. THE SURGEON ASKED FOR THE TABLE TO BE PUT INTO THE TRENDELENBURG POSITION. AS THE PT WAS BEING PUT INTO THIS POSITION THE TABLE STARTED TO TILT AND THE HEAD OF THE TABLE FINALLY ENDED UP FALLING AND CONTACTING THE FLOOR. THE PT WAS RESTRAINED BY A NURSE AND AS THEY SLID DOWN THE LENGTH OF THE TABLE THEIR HEAD CONTACTED THE FLOOR. THE PT HAD NO TRAUMA FROM THE INCIDENT. SKYTRON SENT A REP TO THE HOSPITAL AND IT WAS DETERMINED THE TABLE IS CAPABLE OF PUTTING UP TO A 500 POUND PERSON INTO TRENDELENBURG BUT IT WAS NOTED THAT THE TABLE EXTENDED TOO FAR AND TOO MUCH OF THE WEIGHT OF THE PT WAS PAST THE FULCRUM POINT. THE DEPARTMENT WAS RE-INSERVICED AS TO THE PROPER USE OF THIS TABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SURGICAL TABLE SURGICAL TABLE FQO SKYTRON 6500NB *

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Other