FDA Adverse Event Malfunction Summary report: N

3080 SP SURGICAL TABLE

MDR report key: 14162037 · Received April 20, 2022

Report

Report Number
1043572-2022-00032
Event Type
Malfunction
Date Received
April 20, 2022
Date of Event
March 23, 2022
Report Date
April 20, 2022
Manufacturer
STERIS CORPORATION - MONTGOMERY
Product Code
FWW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A STERIS SERVICE TECHNICIAN ARRIVED ONSITE TO INSPECT THE TABLE AND WAS UNABLE TO RECREATE THE REPORTED EVENT. UPON INSPECTION, THE TECHNICIAN FOUND THAT THE TABLE HAND CONTROL HOUSING WAS DAMAGED. THE TABLE IS NOT UNDER STERIS SERVICE AGREEMENT FOR MAINTENANCE; THE USER FACILITY IS RESPONSIBLE FOR ALL MAINTENANCE ACTIVITIES. THE TABLE WAS INSTALLED IN (B)(6) 1996 MAKING IT APPROXIMATELY 25 YEARS OLD AT THE TIME OF THE REPORTED EVENT. THE TECHNICIAN REPLACED THE DAMAGED HAND CONTROL, TESTED THE TABLE, CONFIRMED IT WAS OPERATING ACCORDING TO SPECIFICATION, AND RETURNED IT TO SERVICE. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.

Description of Event or Problem · 0

THE USER FACILITY REPORTED THAT DURING A PATIENT PROCEDURE, THEIR 3080 SP SURGICAL TABLE MOVED INTO FLEX POSITION WITHOUT BEING COMMANDED TO DO SO. NO REPORT OF INJURY. THE PROCEDURE WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1272645 3080 SP SURGICAL TABLE SURGICAL TABLE FWW STERIS CORPORATION - MONTGOMERY

Patients

Seq Age Sex Outcome Treatment
1 Unknown