FDA Adverse Event Summary report: N

CMAX SURGICAL TABLE

MDR report key: 2193361 · Received August 5, 2011

Report

Report Number
1043572-2011-00037
Date Received
August 5, 2011
Date of Event
July 8, 2011
Report Date
August 5, 2011
Manufacturer
STERIS CORPORATION - MONTGOMERY
Product Code
FQO
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A STERIS SERVICE TECHNICIAN INSPECTED THE SURGICAL TABLE AND FOUND THAT THE POWER SUPPLY WAS DAMAGED. THE TECHNICIAN REPLACED THE POWER SUPPLY, TESTED ALL TABLE FUNCTIONS, AND SUCCESSFULLY RETURNED THE TABLE BACK TO SERVICE. IT IS CONCLUDED THAT THE CAUSE OF THIS EVENT WAS DUE TO LACK OF SEALANT BETWEEN THE STEEL AND PLASTIC BASE COVERS WHICH ALLOWED FLUID TO INGRESS INTO THE TABLE INTERIOR AND SHORT OUT THE POWER SUPPLY. THIS OCCURRED DURING THE MOST RECENT SERVICE REPAIR. THE TECHNICIAN HAS RECEIVED REFRESHER TRAINING ON THE PROPER PROCEDURE FOR RESEALING THE TABLE BASE COVERS AFTER REPAIR.

Description of Event or Problem · 1

THE USER FACILITY REPORTED THAT DURING A PROCEDURE THE SURGICAL TABLE BASE BEGAN TO SMOKE. THE TABLE WAS UNPLUGGED, THE SMOKING STOPPED, AND THE PROCEDURE WAS COMPLETED SUCCESSFULLY WITHOUT FURTHER INCIDENT. NO INJURIES WERE REPORTED TO HOSPITAL STAFF OR PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CMAX SURGICAL TABLE SURGICAL TABLE FQO STERIS CORPORATION - MONTGOMERY

Patients

Seq Age Sex Outcome Treatment
1