BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HUTIV TABLE ASSY STD W/COLOR

    MDR report key: 1160563 · Received September 10, 2008

    Report

    Report Number
    1518293-2008-00279
    Event Type
    Malfunction
    Date Received
    September 10, 2008
    Date of Event
    August 25, 2008
    Report Date
    August 25, 2008
    Manufacturer
    LIEBEL-FLARSHEIM CO.
    Product Code
    KQS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    LIEBEL FLARSHEIM MANUFACTURING REPORT: FIELD SERVICE ENGINEER INVESTIGATED PROBLEM AND FOUND THE TABLE HAD NO 24 VOLT OUTPUT. FSE TRACED PROBLEM TO A J-PLUG CONNECTOR LOOSE ON THE POWER DISTRIBUTION PANEL. RESEATED CONNECTOR AND TIE WRAPPED CABLES TO PREVENT STRESS ON J-PLUG. VERIFIED OPERATION PER HUT IV INSTALLATION AND SERVICE MANUAL. RETURNED TO FULL SERVICE BY THE CUSTOMER.

    Description of Event or Problem · 1

    CUSTOMER REPORTS VIA E-MAIL. "OVER THE WEEKEND, THE TABLE REFUSED TO MOVE, THERE WAS NO POWER TO THE UNIT." POTENTIAL RISK FOR INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HUTIV TABLE ASSY STD W/COLOR UROLOGY SUITE KQS LIEBEL-FLARSHEIM CO. HUTIV NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK