FDA Adverse Event Malfunction Summary report: N

OP-TISCH MARS SELECT DS

MDR report key: 15938199 · Received December 8, 2022

Report

Report Number
3007143268-2022-00030
Event Type
Malfunction
Date Received
December 8, 2022
Date of Event
November 23, 2022
Report Date
February 28, 2023
Manufacturer
BAXTER MEDICAL SYSTEMS GMBH + CO. KG
Product Code
GDC
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE OPERATING TABLE MARS SELECT WAS MANUFACTURED IN THE YEAR 2000. NO RECORDS OF REPAIRS OR MAINTENANCE ARE RECORDED WITHIN THE SYSTEM OF THE LEGAL MANUFACTURER. THE DEVICE WILL BE SERVICED BY THE COMPANY SCHNAKENBERG MEDIZIN - & LABORTECHNIK GMBH WHICH IS NOT AN AUTHORIZED SERVICE PARTNER FROM THE LEGAL MANUFACTURER. DURING THE INVESTIGATION IT WAS CONFIRMED BY THE COMPANY SCHNAKENBERG MEDIZIN - & LABORTECHNIK GMBH THAT THE REMOTE CONTROL DID FALL DOWN AND THE COLUMN KEYPAD HAD BEEN DAMAGED. A CONCRETE ROOT CAUSE WAS NOT IDENTIFIED. HOWEVER, BASED ON THE FEEDBACK THE DAMAGED REMOTE CONTROL MOST LIKELY HAS CAUSED THE EVENT. THE DEVICE INVOLVED IN THE EVENT PASSED IT¿S INTENDED LIFETIME OF TEN YEARS. REPLACED THE REMOTE CONTROL AND THE DEVICE WAS WORKING AS EXPECTED. BASED ON THIS, NO FURTHER ACTION IS REQUIRED.

Additional Manufacturer Narrative · 0

THE INVESTIGATION FOR THE ROOT CAUSE IS CURRENTLY ONGOING. FURTHER INFORMATION WILL BE PROVIDED IN A FINAL REPORT.

Description of Event or Problem · 0

CUSTOMER REPORTED THAT OCCASIONALLY THE REMOTE DOES NOT FUNCTION AND ONE DIRECTION OF THE TABLE MOVES UNINTENDED. NO HARM OR IMPACT TO THE SURGICAL PROCEDURE WAS REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT #(B)(4).

Description of Event or Problem · 0

CUSTOMER REPORTED THAT OCCASIONALLY THE REMOTE DOES NOT FUNCTION AND ONE DIRECTION OF THE TABLE MOVES UNINTENDED. NO HARM OR IMPACT TO THE SURGICAL PROCEDURE WAS REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
449777 OP-TISCH MARS SELECT DS UNIVERSAL OPERATING TABLE, ELECTROMECHANICAL GDC BAXTER MEDICAL SYSTEMS GMBH + CO. KG 4544310

Patients

Seq Age Sex Outcome Treatment
1 Unknown