BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SKYTRON 6500 OPERATING TABLE 13961

    MDR report key: 680899 · Received January 31, 2006

    Report

    Report Number
    680899
    Event Type
    Malfunction
    Date Received
    January 31, 2006
    Date of Event
    January 23, 2006
    Report Date
    January 31, 2006
    Manufacturer
    SKYTRON, DIVISION OF KMW GROUP
    Product Code
    FQO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE PATIENT, WHO WAS SHORT AND HEAVY, WAS POSITIONED AT THE END OF ONE SIDE OF THE TABLE FOR THE SURGEON. AT THE CONCLUSION OF THE CASE, THE ANESTHESIOLOGIST BEGAN TURNING THE TABLE BACK AND THE ENTIRE TABLE TOP SLID OFF TOWARDS THE GROUND AND THE PATIENT FOLLOWED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SKYTRON 6500 OPERATING TABLE 13961 TABLE, OR FQO SKYTRON, DIVISION OF KMW GROUP 6500N *

    Patients

    Seq Age Sex Outcome Treatment
    1 28 YR