FDA Adverse Event
Malfunction
Summary report: N
PROTEUS XR/A
MDR report key: 1195524
·
Received October 2, 2008
Report
- Report Number
- 9613445-2008-00037
- Event Type
- Malfunction
- Date Received
- October 2, 2008
- Date of Event
- September 10, 2008
- Report Date
- September 10, 2008
- Manufacturer
- GE HANGWEI MEDICAL SYSTEMS CO., LTD.
- Product Code
- KPR
- PMA / PMN Number
- K993090
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE GE FIELD ENGINEER (FE) FOUND AN ACTUATOR IN THE PEDAL MECHANISM THAT WAS OUT OF ADJUSTMENT THAT PREVENTED THE SENSOR FLAG TO BREAK THE LIGHT BEAM, AS INTENDED. CONSEQUENTLY, THE PEDAL MECHANISM CONTINUOUSLY SENT THE FLOAT COMMAND, PREVENTING THE LOCKS FROM ENGAGING. THE FE CORRECTED THE PROBLEM AND VERIFIED THAT THE TABLE WAS PERFORMING ACCORDING TO SPECIFICATIONS.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE TABLE LOCKS DID NOT ACTUATE DUE TO AN ISSUE WITH THE PEDAL MECHANISM, CAUSING THE TABLETOP TO MOVE IN BOTH DIRECTIONS WITHOUT RESISTANCE. THERE WAS NO INJURY REPORTED. THIS SITUATION COULD CONTRIBUTE TO AN INJURY IF A PATIENT OR OPERATOR WERE UNAWARE OF THIS CONDITION WHILE LOADING OR UNLOADING A PATIENT. THE ENSUING INSTABILITY COULD LEAD TO A FALL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PROTEUS XR/A | KPR | GE HANGWEI MEDICAL SYSTEMS CO., LTD. | 2259988 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |