MalfunctionMOD

SUPPORT ARM 177

Received May 30, 2008 · Event occurred May 21, 2008

Report 1225700-2008-00076 · MDR key 1103603

Device

Generic name

Ioy

Manufacturer

Maquet Critical Care Ab

Model number

Catalog number

6481720

Lot number

Product problems

Break
Component(s), broken
Mechanical Problem

Patient

Injury

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE SUPPORT ARM WAS BEING ADJUSTED WHILE THE VENTILATOR WAS CONNECTED TO A PT. THE SUPPORT ARM BROKE AND HIT THE PT. THE EXTENT OF INJURY IS UNK.