FDA Adverse Event Malfunction Summary report: N

PROTEUS XR/A

MDR report key: 1334723 · Received February 26, 2009

Report

Report Number
9613445-2009-00014
Event Type
Malfunction
Date Received
February 26, 2009
Date of Event
February 12, 2009
Report Date
February 12, 2009
Manufacturer
GE HANGWEI MEDICAL SYSTEMS CO., LTD.
Product Code
KPR
PMA / PMN Number
K993090
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UT, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE GE FIELD ENGINEER (FE) FOUND THAT THE FLAG IN ONE OF THE FOOT PEDAL ASSEMBLY WAS NOT FULLY SEATING INTO THE OPTICAL SENSOR, PREVENTING THE TABLE LOCKS FROM ENGAGING. THE FE ADJUSTED THE FLAG AND VERIFIED THAT TABLE LOCKS WERE PERFORMING AS EXPECTED.

Description of Event or Problem · 1

IT WAS REPORTED THE TABLE LOCKS WERE NOT ACTUATING, CAUSING THE TABLETOP TO UNEXPECTEDLY MOVE IN BOTH LONGITUDINAL AND LATERAL DIRECTIONS WITHOUT RESISTANCE (FREE FLOAT). THE ISSUE WAS DISCOVERED DURING POWER-UP. 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