FDA Adverse Event
Malfunction
Summary report: N
STERIS CMAX
MDR report key: 3253797
·
Received July 25, 2013
Report
- Report Number
- 3253797
- Event Type
- Malfunction
- Date Received
- July 25, 2013
- Date of Event
- July 11, 2013
- Report Date
- July 25, 2013
- Manufacturer
- STERIS
- Product Code
- GDC
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- FL, US
Narratives
Description of Event or Problem · 1
THE EVENT OCCURRED IN THE ORTHOPEDIC OPERATING ROOM. THE SURGEON HAD FINISHED THE OPERATION AND THEY WERE REVERSING THE ANESTHESIA EFFECTS. AT THIS POINT ONE OF THE NURSES/TECHS SMELLED SOMETHING BURNING AND REALIZED THERE WAS SMOKE COMING FROM THE BOTTOM OF THE BED. THE PATIENT (STILL INTUBATED - THEREFORE NO EXPOSURE TO THE SMOKE/FUMES) WAS TRANSFERRED TO A STRETCHER AND REMOVED FROM THE ROOM. THE OR TABLE WAS INSPECTED AND ASSESSED FOR POTENTIAL WATER DAMAGE - WATER WAS NOT FOUND. AFTER INSPECTING, IT WAS FOUND THAT THE POWER SUPPLY HAD BURNED UP AND SO HAD THE INTERNAL CABLES.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?SHOULDER SURGERY.DEVICE #1IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 348181 | STERIS CMAX | TABLE, OPERATING ROOM | GDC | STERIS | CMAX 100 | * | |
| 348182 | * | * | --- | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |