FDA Adverse Event Other Summary report: N

MAQUET

MDR report key: 680705 · Received February 24, 2006

Report

Report Number
8010652-2006-00001
Event Type
Other
Date Received
February 24, 2006
Date of Event
January 26, 2006
Report Date
February 24, 2006
Manufacturer
MAQUET GMBH AND CO. KG
Product Code
FQO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

AT THE INITIAL STAGES OF A PT'S SURGERY THE THREADED END OF THE TRENDELENBURG CYLINDER SHEARED OFF ALLOWING THE HEAD END OF THE TABLE TO RAPIDLY FALL TOWARD THE FLOOR. THERE WAS A BACK EXTENSION BEING USED AND THE PT WAS POSITIONED IN NORMAL, ORIENTATION ON THE TABLE. THE PT WAS REPORTED TO BE IN AN ANESTHESIA - INDUCED STATE. STRAPPING OF THE PT ONTO THE TABLE IS UNK. THE PT'S HEAD REPORTEDLY FELL ONTO THE FLOOR AS AN END RESULT OD THE TILTED TABLE SURFACE. NO PT OR STAFF INJURIES WERE REPORTED. THE PT WAS MOVED TO ANOTHER OPERATING TABLE AND THE SURGERY PROCEEDED AS PLANNED. THE PT WAS INFORMAED OF THE EVENT AFTER THE SURGERY WAS COMPLETED. THE PT ALSO UNDERWENT A PRECAUTIONARY MRI AFTER THE SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MAQUET OPERATING TABLE FQO MAQUET GMBH AND CO. KG 1132.03B *

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN