FDA Adverse Event Malfunction Summary report: N

COMPAX 40E

MDR report key: 1349145 · Received December 22, 2008

Report

Report Number
2126677-2008-00105
Event Type
Malfunction
Date Received
December 22, 2008
Date of Event
October 27, 2008
Report Date
October 27, 2008
Manufacturer
GE MEDICAL SYSTEMS, LLC
Product Code
IZZ
PMA / PMN Number
K884930
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE GE FIELD ENGINEER (FE) FOUND THE SUPPLY FUSE TO THE MAIN INPUT POWER TRANSFORMER (F3) WAS OPEN, WHICH SHUT OFF THE TABLE CONTROL AND BRAKES. FOLLOWING THE FUSE F3 REPLACEMENT, ANOTHER FUSE FAILURE OCCURRED LATER IN THE DAY DURING PREVENTATIVE MAINTENANCE. THE FE'S INVESTIGATION REVEALED THAT THE TABLE POWER INPUT TOROID TRANSFORMER WAS THE LIKELY CAUSE OF THE SECOND FAILURE. THE FE REPLACED THE TOROID TRANSFORMER AND VERIFIED THAT THE REPLACEMENT FIXED THE TABLE FLOAT. THE SITE HAS EXPERIENCED NO SIMILAR PROBLEM SINCE THE INCIDENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE TABLE LOCKS DID NOT ACTUATE WHEN THE TECHNOLOGIST RELEASED THE FOOT PEDAL DUE TO POWER LOSS, CAUSING THE TABLETOP TO UNEXPECTEDLY MOVE IN BOTH LATERAL AND LONGTITUDINAL 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 45434285

Patients

Seq Age Sex Outcome Treatment
1