BEUDAMED
    FDA Adverse Event Summary report: N

    5085 SURGICAL TABLE

    MDR report key: 2911373 · Received January 11, 2013

    Report

    Report Number
    1043572-2013-00006
    Date Received
    January 11, 2013
    Date of Event
    December 13, 2012
    Report Date
    January 11, 2013
    Manufacturer
    STERIS CORPORATION - MONTGOMERY
    Product Code
    FQO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    HEALTH PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    THE STERIS SERVICE TECHNICIAN ASKED USER FACILITY PERSONNEL IF THE TABLE HAD TO BE RELOCKED TO THE FLOOR AND PERSONNEL STATED "NO", THE TABLE MOVED WHEN IT WAS LEANED UPON OR BUMPED. THE USER FACILITY STATED THAT THE TABLE MOVED ABOUT AN INCH WITH A BUMP AND LEANING ON IT PRODUCED LESS MOVEMENT. THE TECHNICIAN INSPECTED THE TABLE AND FOUND THAT ONE OF THE FLOOR LOCK PADS WAS MISSING. THE REPLACEMENT FLOOR LOCK PAD HAS BEEN ORDERED AND RECEIVED. THE TABLE REMAINS OUT OF SERVICE UNTIL THE TECHNICIAN CAN MAKE THE REPAIR.

    Description of Event or Problem · 1

    THE USER FACILITY REPORTED THAT THE TABLE UNLOCKED 3 TIMES DURING A PATIENT PROCEDURE .NO INJURIES TO HOSPITAL STAFF OR PATIENT. NO PROCEDURAL DELAYS OR CANCELLATIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    17202 5085 SURGICAL TABLE SURGICAL TABLE FQO STERIS CORPORATION - MONTGOMERY

    Patients

    Seq Age Sex Outcome Treatment
    1