FDA Adverse Event Injury Summary report: N

ATOMIC OR TABLE

MDR report key: 908324 · Received August 30, 2007

Report

Report Number
MW5003627
Event Type
Injury
Date Received
August 30, 2007
Date of Event
August 23, 2007
Report Date
August 30, 2007
Manufacturer
*
Product Code
EYH
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

AT THE END OF THE UROLOGY CASE, JUST PRIOR TO MOVING THE PT ONTO A STRETCHER, THE CYSTO BED STARTED TO LOWER AT THE FOOT END TOWARD THE FLOOR. STAFF WAS ABLE TO MOVE PT WITHOUT INCIDENT TO THE STRETCHER. THE CYSTO BED WAS NOT ABLE TO OPERATE NORMALLY, SO IT WAS REMOVED FROM OR AND TAGGED FOR REPAIR. DIAGNOSIS: CYSTO CASES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ATOMIC OR TABLE CYSTO BED EYH * 056450 *

Patients

Seq Age Sex Outcome Treatment
1 27 YR Disability