BEUDAMED
    FDA Adverse Event Summary report: N

    4085 SURGICAL TABLE

    MDR report key: 3180465 · Received June 20, 2013

    Report

    Report Number
    1043572-2013-00063
    Date Received
    June 20, 2013
    Date of Event
    May 10, 2013
    Report Date
    June 20, 2013
    Manufacturer
    STERIS CORPORATION - MONTGOMERY
    Product Code
    FQO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    HEALTH PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    A FIELD SERVICE TECHNICIAN INSPECTED THE TABLE AND WAS ABLE TO DUPLICATE THE REPORTED EVENT. THE TECHNICIAN REPLACED THE FLOOR LOCK MANIFOLD, TESTED THE TABLE, AND RETURNED IT TO SERVICE.

    Description of Event or Problem · 1

    THE USER FACILITY REPORTED THE SURGICAL TABLE BECAME UNLOCKED DURING A PATIENT PROCEDURE. NO INJURIES TO HOSPITAL STAFF OR PATIENTS WERE REPORTED. NO PROCEDURAL DELAYS OR CANCELLATIONS OCCURRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    279941 4085 SURGICAL TABLE SURGICAL TABLE FQO STERIS CORPORATION - MONTGOMERY

    Patients

    Seq Age Sex Outcome Treatment
    1