BEUDAMED
    FDA Adverse Event Other Summary report: N

    AMERICAN STERILIZER CO.

    MDR report key: 87264 · Received April 24, 1997

    Report

    Report Number
    87264
    Event Type
    Other
    Date Received
    April 24, 1997
    Date of Event
    March 19, 1997
    Report Date
    March 27, 1997
    Manufacturer
    AMERICAN STERILIZER CO.
    Product Code
    FQO
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT PLACED ON OR TABLE WITH HEAD AT FOOT. TABLE WAS UNLOCKED TO BE TURNED. WHEN TURNED, THE TABLE TILTED, CAUSING PT TO BEGIN TO SLIDE OFF. PT WAS CAUGHT BY PERSONNEL AND TABLE WAS RIGHTED. PLEASE NOTE AT THE TIME OF THIS REPORT MFR HAS ALREADY INSPECTED TABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AMERICAN STERILIZER CO. TABLE, OPERATING FQO AMERICAN STERILIZER CO. 2080 *

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Other