SKYTRON 3501C EZ SLIDE

Description of Event or Problem

THE PATIENT, SCHEDULED FOR RESECTION OF RECURRENT COLON CANCER FOLLOWED BY INTRAOPERATIVE RADIATION, WAS PLACED ON THE SKYTRON 3501C OR TABLE. THE HEAD BOARD WAS ATTACHED TO THE FOOTBOARD IN ACCORDANCE WITH MANUFACTURER'S GUIDELINES TO ALLOW FOR MAXIMUM TABLE EXTENSION FOR MOBETRON RADIATION UNIT USE. THE PATIENT WAS PREPPED, GIVEN GENERAL ANESTHESIA AND POSITIONING HAD BEGUN. AS THE PATIENT WAS PLACED INTO LITHOTOMY POSITION A LOUD CRACK WAS HEARD. THE BASE OF THE SKYTRON TABLE SNAPPED AND THE TABLE BROKE ACROSS THE MAIN SUPPORTING CENTRAL TABLE STEM. THE PATIENT SLID TOWARD THE END OF THE TABLE AND ONTO THE FLOOR. THE TABLE TILT WAS AT AN ANGLE THAT SUPPORTED THE PATIENT'S BODY ALIGNMENT. THE PATIENT'S AIRWAY AND ETT WAS SECURED WHILE THE PATIENT WAS PLACED ON A STANDARD OR TABLE. THE PATIENT WAS EXAMINED AND NO HARM NOTED POST EVENT. SURGICAL TEAM STAFF SURROUNDING THE PATIENT ON THE TABLE SUFFERED KNEE AND FOOT SURFACE CONTUSIONS RELATED TO THE TABLE BREAK. THE MOBETRON WAS NOT COMPATABLE WITH THE STANDARD OR TABLE SO INTRAOPERATIVE RADIATION THERAPY WAS COMPLETED UTILIZING AN INTRABEAM MACHINE.