FDA Adverse Event
Malfunction
Summary report: N
COMPAX 40E
MDR report key: 1203586
·
Received October 16, 2008
Report
- Report Number
- 2126677-2008-00084
- Event Type
- Malfunction
- Date Received
- October 16, 2008
- Date of Event
- September 17, 2008
- Report Date
- September 17, 2008
- Manufacturer
- GE MEDICAL SYSTEMS, LLC
- Product Code
- IZZ
- PMA / PMN Number
- K884930
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE GE FIELD ENGINEER (FE) FOUND A MALFUNCTION IN THE MAIN POWER SUPPLY BOARD. THE FE REPLACED THE BOARD AND TESTED THE SYSTEM. THE TABLELOCKS WERE VERIFIED TO BE PERFORMING WITHIN SPECIFICATIONS.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE TABLE LOCKS DID NOT ACTUATE, THAT CAUSED THE TABLETOP TO UNEXPECTEDLY MOVE IN BOTH LONGITUDINAL AND LATERAL DIRECTIONS WITHOUT RESISTANCE (FREE FLOAT). THERE WAS NO INJURY REPORTED. THIS SITUATION COULD CONTRIBUTE TO AN INJURY IF A PT OR OPERATOR WERE UNAWARE OF THIS CONDITION WHILE LOADING OR UNLOADING A PT. THE ENSUING INSTABILITY COULD LEAD TO A FALL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | COMPAX 40E | IZZ | GE MEDICAL SYSTEMS, LLC | 45435245 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |