FDA Adverse Event Malfunction Summary report: N

ORT200 TABLE

MDR report key: 23383734 · Received October 24, 2025

Report

Report Number
3010326005-2025-00003
Event Type
Malfunction
Date Received
October 24, 2025
Date of Event
October 2, 2025
Report Date
October 24, 2025
Manufacturer
IMRIS IMAGING, INC.
Product Code
KXJ
UDI-DI
00857534006349
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE IMRIS FIELD SERVICE ENGINEER ISOLATED THE CAUSE TO AN ACTUATOR COMPONENT WITHIN THE TABLE'S ROTATIONAL LOCKING MECHANISM. THE FIELD ENGINEER ROTATED THE TABLE AND RE-ENGAGED THE LOCKING MECHANISM, WHICH SUCCESSFULLY LOCKED THE TABLE POSITION. END USER WAS INFORMED OF THE FINDING AND THE ACTUATOR COMPONENT IS IN PROCESS OF BEING REPLACED. AN INTERNAL CORRECTIVE ACTION HAS BEEN INITIATED BY THE MANUFACTURER TO FURTHER ADDRESS THIS ISSUE.

Description of Event or Problem · 0

DURING THE ONE(1) YEAR PREVENTATIVE MAINTENANCE (PM), THE MANUFACTURER'S FIELD SERVICE ENGINEER REPORTED THE ROTATIONAL LOCK ON THE ORT200 OPERATING ROOM TABLE WAS STRUGGLING TO OBTAIN THE LOCK STATUS. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1790115 ORT200 TABLE OPERATING ROOM TABLE KXJ IMRIS IMAGING, INC. ORT200 00857534006349

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other