BEUDAMED
    FDA Adverse Event Other Summary report: N

    YELLOW FINS

    MDR report key: 679436 · Received December 30, 2005

    Report

    Report Number
    679436
    Event Type
    Other
    Date Received
    December 30, 2005
    Date of Event
    December 8, 2005
    Report Date
    December 30, 2005
    Manufacturer
    ALLEN MEDICAL SYSTEMS
    Product Code
    FWZ
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE SEDATED PATIENT MOVED HER LEG AND THE LEFT STIRRUP POPPED OFF THE TABLE. THE PATIENT'S LEFT LEG WAS DANGLING. THE FACILITY NOTIFIED THE MANUFACTURER TO HAVE THE STIRRUPS EVALUATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 YELLOW FINS STIRRUP, SURGICAL FWZ ALLEN MEDICAL SYSTEMS UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR