inforMED
MalfunctionBWN

LITHOTOMY STIRRUP

Received Mar 14, 2022 · Event occurred Mar 9, 2022

Report 13759150 · MDR key 13759150

Device

Generic name

Table And Attachments, Operating-room

Product problems

  • Component Falling
  • Device Dislodged or Dislocated
  • Device Fell

Patient

16790 DA · Female

  • Fall
  • Pain
  • Fall
  • Pain

Narrative

Description of Event or Problem

PATIENT PREPPED AND DRAPED IN LITHOTOMY POSITION. MD (DOCTOR) WENT TO ELEVATE RIGHT LEG, AND POST OF STIRRUP WAS DISLODGED AND DROPPED/RESTING ON FLOOR. PATIENT'S LEG WAS SUPPORTED, STIRRUP REMOVED, AND NEW STIRRUP PLACED ON BED IN ATTACHMENT AND LEG SECURED. MD INFORMED HUSBAND OF INCIDENT AND ADVISED TO CALL IF INCREASED PAIN TO HIP. THE INITIAL POST WAS BEHIND ATTACHMENT BETWEEN RAIL AND BED. ON EVENT REPORT THIS IS ATTRIBUTED TO "USER ERROR." THERE IS NOT ANY DEVICE SPECIFIC INFORMATION (SERIAL#, BRAND NAME) GIVEN ON REPORT.