BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TABLE, SURGICAL

    MDR report key: 7074353 · Received December 1, 2017

    Report

    Report Number
    7074353
    Event Type
    Malfunction
    Date Received
    December 1, 2017
    Date of Event
    November 1, 2017
    Report Date
    November 15, 2017
    Manufacturer
    SKYTRON, INC.
    Product Code
    JEB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE OR TABLE SLOWLY DRIFTED DOWN WHILE THE PATIENT WAS ON THE TABLE, ALTHOUGH THE OR STAFF DID NOT SELECT THIS FUNCTION. THE SURGICAL TECHNICIAN UNPLUGGED THE UNIT FROM THE ELECTRICAL OUTLET, REINSERTED PLUG, AND THE UNIT RESUMED NORMAL OPERATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    856277 TABLE, SURGICAL JEB SKYTRON, INC. 6500N

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR