FDA Adverse Event Malfunction Summary report: N

COMPAX 40E

MDR report key: 1235628 · Received November 12, 2008

Report

Report Number
2126677-2008-00092
Event Type
Malfunction
Date Received
November 12, 2008
Date of Event
October 24, 2008
Report Date
October 24, 2008
Manufacturer
GE MEDICAL SYSTEMS, LLC
Product Code
IZZ
PMA / PMN Number
K884930
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE GE FIELD ENGINEER (FE) REPORTED THAT THE TABLE LOCKS DID NOT ACTUATE DUE TO LOSS OF POWER. THE FE REPLACED THE TABLE FUSE, AND THE FLOAT COULD NOT BE DUPLICATED. THE FE VERIFIED THAT THE TABLE LOCKS ARE PERFORMING ACCORDING TO SPECIFICATIONS.

Description of Event or Problem · 1

IT WAS REPORTED THE TABLE LOCKS DID NOT ACTUATE, CAUSING THE TABLETOP TO UNEXPECTEDLY MOVE IN THE LONGITUDINAL AND LATERAL DIRECTIONS WITHOUT RESISTANCE (FREE FLOAT). 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 COMPAX 40E IZZ GE MEDICAL SYSTEMS, LLC

Patients

Seq Age Sex Outcome Treatment
1