inforMED
MalfunctionBWN

*

Received Jul 23, 2012 · Event occurred Jul 9, 2012

Report 2683592 · MDR key 2683592

Device

Generic name

Leg Holder Bed Attachment

Manufacturer

Skytron

Model number

*

Catalog number

*

Lot number

*

Product problems

  • Break
  • Detachment Of Device Component
  • Component Falling

Patient

64 YR

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

THE PATIENT WAS POSITIONED FOR PROSTATECTOMY VIA DAVINCI AND THE LEG HOLDER WITH METAL BRACKET BROKE OFF AND FELL OFF THE BED CAUSING THE PATIENT'S LEG TO FALL.