BEUDAMED
    FDA Adverse Event Other Summary report: N

    MAQUET

    MDR report key: 592971 · Received April 14, 2005

    Report

    Report Number
    8010652-2005-00002
    Event Type
    Other
    Date Received
    April 14, 2005
    Date of Event
    March 30, 2005
    Report Date
    March 30, 2005
    Manufacturer
    MAQUET GMBH
    Product Code
    FQO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING OPEN HEART SURGERY, WITH STAFF LOCATED AROUND THE TABLE, THE TABLE STARTED TO MOE INTO REVERSE TRENDELENBURG POSITION WITHOUT PERSONNEL ACTIVATING THE HAND CONTROLS OR MANUAL SWITCHES. NO INJURY SUSTAINED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAQUET TABLE FQO MAQUET GMBH 1132.01 *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN