BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AMSCO OR TABLE

    MDR report key: 97291 · Received June 11, 1997

    Report

    Report Number
    MW1011447
    Event Type
    Injury
    Date Received
    June 11, 1997
    Date of Event
    May 1, 1997
    Report Date
    June 4, 1997
    Manufacturer
    AMERICAN STERILIZER CO.
    Product Code
    KQS
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WI, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    TABLE HAS CONTROLS THAT ARE NOT GUARDED AS ARE OTHER MFG'S TABLES. LEANING AGAINST THE CONTROL CAUSED ACCIDENTAL TILT OF THE TABLE SIDEWAYS, ALMOST DUMPING THE PATIENT ONTO THE FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AMSCO OR TABLE OPERATING ROOM TABLE KQS AMERICAN STERILIZER CO. URO-ENDO 1100 *

    Patients

    Seq Age Sex Outcome Treatment
    1 87 YR Required Intervention