FDA Adverse Event Malfunction Summary report: N

JUPITER SM OPERATING TABLE

MDR report key: 5037543 · Received August 27, 2015

Report

Report Number
9681407-2015-00009
Event Type
Malfunction
Date Received
August 27, 2015
Date of Event
August 4, 2015
Report Date
August 4, 2015
Manufacturer
TRUMPF MEDIZIN SYSTEME GMBH + CO. HG
Product Code
FWX
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ACCORDING TO THE INVESTIGATION, THE CAUSE OF THE TABLE RUNNING ON ITS OWN WAS DAMAGE TO THE KEYPAD IN THE REMOTE. THIS ISSUE IS DEALT WITH IN THE ONGOING FSCA ((B)(4)). THE KEYPAD USED WAS PRIOR TO THE DESIGN CHANGE. TRUMPF MEDICAL HAS ISSUED SAFETY INSTRUCTIONS TO THE USERS IN THE FIELD SAFETY NOTICE AND THOSE SHOULD BE FOLLOWED UNTIL TRUMPF MEDICAL IS ABLE TO DO THE FINAL EXCHANGE. THE OPERATION TABLE AND THE REMOTE CONTROL WERE CHECKED BY SERVICE AND REPAIRED. ANTICIPATED COMPLETION OF THE FSCA IS JULY 2016.

Description of Event or Problem · 1

TRUMPF MEDICAL RECEIVED INFORMATION STATING THAT A JUPITER OR TRUSYSTEM 7500 OPERATING TABLE MOVED INDEPENDENTLY AND WITHOUT THE USER DELIBERATELY PRESSING AN OPERATING ELEMENT. NO PATIENTS OR USERS WERE INJURED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
570597 JUPITER SM OPERATING TABLE BATTERY POWERED ELECTROMECHANICAL OPERATING TABLE FWX TRUMPF MEDIZIN SYSTEME GMBH + CO. HG 4003171

Patients

Seq Age Sex Outcome Treatment
1