BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AXIOM 32 FR

    MDR report key: 579081 · Received February 25, 2005

    Report

    Report Number
    579081
    Event Type
    Injury
    Date Received
    February 25, 2005
    Date of Event
    January 8, 2005
    Report Date
    February 25, 2005
    Manufacturer
    AXIOM MEDICAL INC
    Product Code
    KDQ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    ME, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    A SURGICAL PATIENT WAS BEING MOVED FROM THE OPERATING ROOM TABLE TO AN ICU BED. THE RIGHT CHEST TUBE WAS PULLED OUT BY STAFF DURING TRANSFER. THE PATIENT REQUIRED PLACEMENT OF ANOTHER CHEST TUBE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AXIOM 32 FR CHEST TUBE KDQ AXIOM MEDICAL INC UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Other| R