FDA Adverse Event Injury Summary report: N

MAQUET LEG HOLDER

MDR report key: 8000366 · Received October 24, 2018

Report

Report Number
8010652-2018-00025
Event Type
Injury
Date Received
October 24, 2018
Date of Event
September 25, 2018
Report Date
January 23, 2019
Product Code
FQO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

AT THE TIME OF THIS REPORT THE INVESTIGATION IS STILL ONGOING. WHEN THE INVESTIGATION IS COMPLETE THE REPORT WILL BE UPDATED AND A FOLLOW UP MEDWATCH WILL BE SUBMITTED. GETINGE USA SALES, LLC (IMPORTER) IS SUBMITTING THIS REPORT ON BEHALF OF THE LEGAL MANUFACTURER OF THE DEVICE MAQUET GMBH, KEHLER STRASSE 31, RASTATT, GERMANY 76437. EXEMPTION # E2018004. GETINGE USA SALES, LLC, 45 BARBOUR POND DRIVE, WAYNE, NJ 07470. CONTACT PERSON: (B)(4).

Additional Manufacturer Narrative · 0

GETINGE USA SALES, LLC (IMPORTER) IS SUBMITTING THIS REPORT ON BEHALF OF THE LEGAL MANUFACTURER OF THE DEVICE MAQUET GMBH, KEHLER STRASSE 31, RASTATT, GERMANY 76437. EXEMPTION # E2018004. (B)(4), CONTACT PERSON: (B)(6). THE CUSTOMER REPORTED THAT A COMPARTMENT SYNDROME OCCURRED DURING SURGERY WITH A GETINGE-MAQUET PRODUCT. THE CLINIC CONFIRMED THAT THERE WAS NO MALFUNCTION OF THE USED PRODUCT. A COMPARTMENT SYNDROME CAN BE CAUSED DUE TO DIFFERENT INFLUENCES ( PATIENT POSITION, OPERATING TIME, LITHOTOMY POSITION, ANKLE ABOVE HEART LEVEL, P STRONG LOWER LEG AND / OR HIGH BMI, INTRAOPERATIVE COMPRESSION OF THE LARGE VESSELS, A HISTORY OF CARDIOVASCULAR ISSUES). SINCE NO PRODUCT MALFUNCTION WAS REPORTED, WE ASSUME THAT IN THIS CASE SEVERAL UNFAVORABLE FACTORS CAME TOGETHER AND THUS LED TO THE DESCRIBED INJURY. THE CLINIC REPORTED THAT AFTER ONE MONTH OF HOSPITALIZATION THE PATIENT LEFT THE HOSPITAL. GETINGE-MAQUET GMBH PROVIDES PRODUCT FAILURE INVESTIGATION, ANALYSIS AND RESOLUTION FOR THE DEVICE DESCRIBED IN THIS REPORT.

Description of Event or Problem · 0

THE PATIENT'S LEG WAS SUPPORTED ON A LEG HOLDER 100586B0 DURING A SURGICAL PROCEDURE. THE PATIENT WAS DIAGNOSED WITH COMPARTMENT SYNDROME AFTER THE PROCEDURE. (B)(4).

Description of Event or Problem · 0

MANUFACTURER REFERENCE # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
839890 MAQUET LEG HOLDER TABLE, OPERATING-ROOM, AC-POWERED FQO 100586B0

Patients

Seq Age Sex Outcome Treatment
1 48 YR Other