BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BREWER ACCESS EXAM TABLE

    MDR report key: 8079612 · Received November 15, 2018

    Report

    Report Number
    MW5081405
    Event Type
    Injury
    Date Received
    November 15, 2018
    Date of Event
    July 30, 2018
    Report Date
    November 13, 2018
    Manufacturer
    THE BREWER COMPANY, LLC
    Product Code
    LGX
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ONE OF OUR PATIENT'S WENT TO SIT ON THE EXAM TABLE AND HE PLACED HIS LEFT HAND FINGER UNDERNEATH THE CUSHION AND QUICKLY SAT DOWN. AT THAT TIME THE TIP OF HIS MIDDLE FINGER SLICED OFF. THE DISTAL TIP WAS ON THE FLOOR. THE BUMPERS UNDER THE SEAT CUSHION TO SEPARATE FROM THE BASE OF EXAM TABLE WERE MISSING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    912435 BREWER ACCESS EXAM TABLE TABLE, EXAMINATION, MEDICAL, POWERED LGX THE BREWER COMPANY, LLC 5000-04

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Disability