FDA Adverse Event
Malfunction
Summary report: N
6500 ELITE
MDR report key: 6053619
·
Received October 25, 2016
Report
- Report Number
- 6053619
- Event Type
- Malfunction
- Date Received
- October 25, 2016
- Date of Event
- April 29, 2016
- Report Date
- September 30, 2016
- Manufacturer
- SKYTRON, LLC
- Product Code
- JEB
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
TWO BUTTONS ON THE OPERATING ROOM TABLE DIDN'T WORK FOR REFLEX POSITIONING FOR KNEE CASE. OPTIMAL POSITION NOT REACHED. THIS IS AN OLD DEVICE NO LONGER SUPPORTED BY MANUFACTURER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 705544 | 6500 ELITE | TABLE, SURGICAL | JEB | SKYTRON, LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 24 YR |