inforMED
OtherIWY

TYPE-S SYSTEM

Received Jun 16, 2006 · Event occurred Jun 1, 2006

Report 1932738-2006-00004 · MDR key 727127

Device

Generic name

Carbon Fiber Head, Neck, And Shoulder Base

Manufacturer

Civco

Model number

MT-CFHN-C

Catalog number

MT-CFHN-C

Lot number

*

Product problems

  • Unknown (for use when the device problem is not known)

Patient

UNKNOWN

  • Fall
  • Bone Fracture(s)

Narrative

Additional Manufacturer Narrative

FACILITY DOES NOT WANT TO DISCUSS THE ISSUE OR PROVIDE INFORMATION REGARDING THE PATIENT WITH CIVCO. BASED ON INITIAL COMMENTS FROM THE FACILITY, THE PATIENT REPOSITIONED THEMSELVES WITHOUT ASSISTANCE. THE USER MANUAL CONTAINS CAUTIONS AND WARNINGS FOR THE OPERATOR NOT TO ALLOW THE PATIENT TO REPOSITION THEMSELVES WITHOUT ASSISTANCE. ALSO, SAFETY STRAPS WERE SUPPLIED TO THE FACILITY, BUT THEY DO NOT USE THEM.

Description of Event or Problem

CUSTOMER NOTIFIED CIVCO THAT ALTHOUGH PHYSICIANS WERE NOT PERFORMING ANY TREATMENT AT THE TIME, THE PATIENT SHIFTED THEMSELVES, APPLYING EXTRA WEIGHT TO THE SUPERIOR SIDE OF THE TABLE AND FELL TO THE GROUND. PATIENT WAS DIAGNOSED TO HAVE A FRACTURED BACK. SAFTEY STRAPS HAD BEEN SENT TO THE FACILITY IN 2005, BUT THEY DO NOT USE THEM.