BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STERIS 5085 BEACH CHAIR

    MDR report key: 8565315 · Received April 29, 2019

    Report

    Report Number
    MW5086272
    Event Type
    Injury
    Date Received
    April 29, 2019
    Date of Event
    April 12, 2019
    Report Date
    April 17, 2019
    Manufacturer
    STERIS CORPORATION
    Product Code
    FWW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT WAS INTUBATED ON OPERATING ROOM TABLE. BACK OF TABLE WAS BEING MOVED INTO THE CHAIR POSITION. THE BACK OF THE CHAIR WENT TO THE FLOOR AND THE PT FELL BACKWARDS HITTING HIS HEAD ON THE FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    356520 STERIS 5085 BEACH CHAIR TABLE, OPERATING-ROOM, PNEUMATIC FWW STERIS CORPORATION 5085

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Hospitalization