inforMED
MalfunctionCCX

YELLOFIN STIRRUP

Received Jan 16, 2019 · Event occurred Oct 24, 2018

Report 8252568 · MDR key 8252568

Device

Generic name

Support, Patient Position

Product problems

  • Break
  • Detachment of Device or Device Component

Patient

13140 DA

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

PATIENT WAS POSITIONED IN SURGERY FOR A LAPAROSCOPY. LEGS WERE IN YELLOW FIN STIRRUPS. PROCEDURE HAD STARTED WHEN ALL OF A SUDDEN PATIENT'S RIGHT LEG IN THE STIRRUP FELL DOWN TO THE SIDE OF TABLE. LEG WAS CAUGHT BY DR. AND HELD BY NURSES. UPON INSPECTION OF PATIENT'S RIGHT LEG NO INJURY WAS NOTED PER DR. THE STIRRUP WAS THEN INSPECTED AND WAS FOUND TO COMPLETELY HAVE SNAPPED OFF AT METAL ATTACHMENT TO STIRRUP. UPON INSPECTION OF THE FLOOR A PIECE OF THE METAL SCREW WAS ALSO FOUND AND TAPED TO THE STIRRUP.