FDA Adverse Event Malfunction Summary report: N

3080 SP SURGICAL TABLE

MDR report key: 16078525 · Received December 30, 2022

Report

Report Number
1043572-2022-00095
Event Type
Malfunction
Date Received
December 30, 2022
Date of Event
December 2, 2022
Report Date
December 30, 2022
Manufacturer
STERIS CORPORATION - MONTGOMERY
Product Code
FWW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A STERIS SERVICE TECHNICIAN ARRIVED ONSITE TO INSPECT THE SURGICAL TABLE AND FOUND THAT ONE OF THE TWO BOLTS THAT SECURES THE TILT CYLINDER TO THE TABLE'S COLUMN WAS DAMAGED RESULTING IN THE REPORTED TABLETOP MOVEMENT. THE TECHNICIAN REPLACED BOTH TILT CYLINDER BOLTS, TEST THE SURGICAL TABLE, FOUND IT TO BE OPERATING ACCORDING TO SPECIFICATION, AND RETURNED THE TABLE TO SERVICE. THE TABLE WAS INSTALLED IN 1996 MAKING IT APPROXIMATELY 26 YEARS OLD AND IS NOT UNDER STERIS SERVICE AGREEMENT. THE USER FACILITY IS RESPONSIBLE FOR ALL MAINTENANCE ACTIVITIES. A 2-YEAR COMPLAINT REVIEW INDICATES THIS TO BE AN ISOLATED EVENT. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.

Description of Event or Problem · 0

THE USER FACILITY REPORTED THAT AT THE START OF A PATIENT PROCEDURE THE TABLETOP TO THEIR 3080 SP SURGICAL TABLE WAS UNSTABLE. THE PATIENT WAS TRANSFERRED TO ANOTHER TABLE AND THE PROCEDURE WAS COMPLETED SUCCESSFULLY. NO REPORT OF INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2238719 3080 SP SURGICAL TABLE SURGICAL TABLE FWW STERIS CORPORATION - MONTGOMERY

Patients

Seq Age Sex Outcome Treatment
1 Unknown