MalfunctionGBB
SHOULDER POSITIONING SYSTEM TABLE
Received Feb 3, 2022 · Event occurred Jan 28, 2022
Report MW5107201 · MDR key 13453864
Device
Generic name
Chair, Surgical, Ac-powered
Manufacturer
Schuremed /schuerch CorporationModel number
800-0004Catalog number
800-0004
Product problems
- Device Fell
Patient
43 YR · Male
- Fall
- Fall
Narrative
Description of Event or Problem
WHILE PT WAS MOVING OVER TO OPERATING ROOM BED (SCHUREMED) THE UPPER HALF OF THE OPERATING ROOM BED FELL BACK AND PT SLID BACKWARDS AND HAD AN ASSISTED FALL. THE UPPER HALF OF BED SHEARED OFF, NOT AT A CONNECTION POINT. FDA SAFETY REPORT ID# (B)(4).