BEUDAMED
    FDA Adverse Event Death Summary report: N

    SKYTRON

    MDR report key: 997123 · Received February 14, 2008

    Report

    Report Number
    997123
    Event Type
    Death
    Date Received
    February 14, 2008
    Date of Event
    October 12, 2006
    Report Date
    October 13, 2006
    Product Code
    FQO
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING SURGERY FOR PERICARDIAL WINDOW, THE OR BED COLLAPSED WITH HEAD AND FEET. LOWER THAN TORSO, CPRV RESUSCITATION WERE COMMENCED. EFFORTS WERE UNSUCCESSFUL DUE TO MASSIVE HEMORRHAGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SKYTRON OR SURGICAL BED FQO 6500 NB

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Death