BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ALLEN MEDICAL SYSTEMS SHOULDER CHAIR

    MDR report key: 705143 · Received April 25, 2006

    Report

    Report Number
    1221538-2006-00004
    Event Type
    Injury
    Date Received
    April 25, 2006
    Date of Event
    February 27, 2006
    Report Date
    March 20, 2006
    Manufacturer
    ALLEN MEDICAL SYSTEMS, INC.
    Product Code
    FWZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE REPORTER STATED THE DOCTOR WAS POSITIONING THE PATIENT IN TRENDELENBURG WHILE THE PATIENT WAS INTUBATED AND UNDER ANASTHESIS. INITIAL REPORT INDICATES THAT THE POSITIONER WAS NOT PROPERLY FASTENED TO THE OR TABLE AND THAT THE CHAIR FELL FROM THE TABLE RAILS. THE DOCTOR ATTEMPTED TO CATCH THE PATIENT PRIOR TO HITTING THE FLOOR BUT WAS UNABLE TO DO SO, AND THE PATIENT LANDED ON THE FLOOR. THE HOSPITAL DID CT SCANS AND X-RAYS OF THE PATIENT WHICH WERE NEGATIVE. THE REPORTER STATES THAT THE PATIENT STRAINED HIS NECK AND BACK MUSCLES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALLEN MEDICAL SYSTEMS SHOULDER CHAIR ALLEN SHOULDER CHAIR FWZ ALLEN MEDICAL SYSTEMS, INC. 0-SC-A3 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization