FDA.reportPublic FDA data

MAUDE MDR 1527188

MDR report key
1527188
Report number
MW5013477
Event key
0
Event type
3
Date of event
2009-10-20
Date received
2009-11-10
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
500
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Report source
P
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ALLEN MEDICAL TRANSFER BOARDSURGIBORDALLEN MEDICAL SYSTEMSFMRNOT AVAILABLENOT AVAILABLENA R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12009-11-1001. R

Event Narratives#

D

Patient 1

PT WAS BEING MOVED FROM THE OPERATING ROOM TABLE TO THE BED AND FOUND THAT THE ALLEN MEDICAL TRANSFER BOARD HAD A PIECE OF PLASTIC STICKING OUT AND NOT SECURED. THE PIECE OF THE TRANSFER BOARD WAS SHARP, SO THE STAFF IMMEDIATELY TURNED TO THE PT TO SEE IF HE WAS INJURED. THEY FOUND A 4 INCH BLEEDING WOUND ON THE BACK OF THE PT. THE SURGICAL TEAM WAS MADE AWARE AND THE WOUND WAS ADDRESSED. THE PT HAS SINCE HEALED. AFTER FURTHER ANALYSIS, THE PLASTIC END OF THE BOARD BROKE AFTER TRANSFER OF THE PT. ALL TRANSFER BOARDS WERE REMOVED FROM SERVICE.