FDA Adverse Event Malfunction Summary report: N

TRIOS, TABLE BASE

MDR report key: 19982449 · Received August 14, 2024

Report

Report Number
2921578-2024-00013
Event Type
Malfunction
Date Received
August 14, 2024
Date of Event
July 25, 2024
Report Date
October 31, 2024
Manufacturer
MIZUHO ORTHOPEDIC SYSTEMS, INC.
Product Code
JEA
UDI-DI
00842430103957
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
DE, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

PER THE INFORMATION OBTAINED FROM INVESTIGATION AND DEVICE EVALUATION, AN INTERMITTENT PAUSING OF THE TABLE COLUMN AFTER 36" ALONG WITH LOW VOLTAGE OF THE BATTERIES WAS OBSERVED. AFTER PERFORMING THE COLUMN CALIBRATION AND BATTERY RE-CHARGE, THE REPORTED ISSUE OF "SPUTTERING" OR "SHAKING" WAS NOT OBSERVED/REPRODUCED. POTENTIOMETER, BATTERIES AND POWER CORD WERE REPLACED BY THE MANUFACTURER FOLLOWING THE INCIDENT.

Description of Event or Problem · 0

WHILE PATIENT WAS ON THE TABLE, THE TRIOS TABLE SYSTEM BEGAN SHAKING OR "SPUTTERING" UNCONTROLLABLY. THE SPUTTERING WAS EXCESSIVE ENOUGH DURING THIS LATEST EPISODE THAT THE TEAM IN THE ROOM THOUGHT THE PATIENT MAY FALL OFF THE TABLE. SPUTTERING OCCURED INTERMITTENTLY UNTIL IT GOT TO 39 INCHES AND UP WHEN IT BECAME ITS WORST.

Description of Event or Problem · 0

WHILE PATIENT WAS ON THE TABLE, THE TRIOS TABLE SYSTEM BEGAN SHAKING OR "SPUTTERING" UNCONTROLLABLY. THE SPUTTERING WAS EXCESSIVE ENOUGH DURING THIS LATEST EPISODE THAT THE TEAM IN THE ROOM THOUGHT THE PATIENT MAY FALL OFF THE TABLE. SPUTTERING OCCURED INTERMITTENTLY UNTIL IT GOT TO 39 INCHES AND UP WHEN IT BECAME ITS WORST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
535097 TRIOS, TABLE BASE OPERATING TABLE JEA MIZUHO ORTHOPEDIC SYSTEMS, INC. 7803 00842430103957

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown