FDA Adverse Event Injury Summary report: N

SKYTRON

MDR report key: 6908951 · Received October 2, 2017

Report

Report Number
1825014-2017-00006
Event Type
Injury
Date Received
October 2, 2017
Date of Event
August 23, 2017
Report Date
October 2, 2017
Manufacturer
MIZUHO CORPORATION
Product Code
FQO
Product Problem
Yes
Report Source
Distributor report
Reporter Location
AR, US
Reporter Occupation
ATTORNEY

Narratives

Description of Event or Problem · 1

THIS IS A RESPONSE TO BAXTER REGIONAL REPORT NUMBER MW5071956. UPON EVALUATION OF THE INCIDENT, SKYTRON DETERMINED THAT THE FACILITY DID NOT FOLLOW INSTRUCTIONS IN THE OWNERS MANUAL REGARDING EXTREME POSITIONING. THE MANUAL STATES "THE EXTREME POSITIONING CAPABILITIES OF THE 3600B ULTRASLIDE TABLE REQUIRES SPECIAL ATTENTION FOR POSSIBLE INTERFERENCE POINTS WHEN USING MULTIPLE FUNCTION POSITIONING. AS WITH THE OPERATION OF ANY SURGICAL TABLE, A CERTAIN AMOUNT OF CARE SHOULD BE EXERCISED TO POSITION THE PATIENT SAFETY." THERE IS ALSO A CAUTION THAT STATES "THE COMBINATION OF MINIMUM ELEVATION (TOP ALL THE WAY DOWN), EXTREME TRENDELENBURG POSITIONING AND TOP SLIDE FUNCTION MAY ALLOW THE BACK SECTION TO COLLIDE WITH THE BASE OR FLOOR.". THE FACILITY WAS INFORMED OF THESE STATEMENTS FROM A LOCAL SKYTRON REPRESENTATIVE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
688323 SKYTRON 3600B FQO MIZUHO CORPORATION 3600B

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention