BEUDAMED
    FDA Adverse Event Other Summary report: N

    MAQUET

    MDR report key: 615738 · Received July 29, 2004

    Report

    Report Number
    8010652-2004-00001
    Event Type
    Other
    Date Received
    July 29, 2004
    Report Date
    June 16, 2004
    Manufacturer
    MAQUET GMBH AND CO. KG
    Product Code
    FQO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT WHEN A NURSE REMOVED THE HEAD SECTION FROM TABLE THE EXTENSTION SEGMENT FELL ONTO THEIR FOOT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAQUET SURGICAL TABLE FQO MAQUET GMBH AND CO. KG 1132.01 *

    Patients

    Seq Age Sex Outcome Treatment
    1 *