FDA Adverse Event Summary report: N

3085 SURGICAL TABLE

MDR report key: 5052943 · Received September 3, 2015

Report

Report Number
1043572-2015-00080
Date Received
September 3, 2015
Date of Event
June 11, 2015
Report Date
September 3, 2015
Manufacturer
STERIS CORPORATION - MONTGOMERY
Product Code
FQO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A STERIS SERVICE TECHNICIAN ARRIVED AT THE USER FACILITY IN AN EFFORT TO OBTAIN ADDITIONAL INFORMATION REGARDING THE EVENT, AND INSPECT THE SURGICAL TABLE. THE TECHNICIAN WAS INFORMED THAT THE AMOUNT OF SMOKE OBSERVED WAS SMALL AND DID NOT REQUIRE TRANSFER OF THE PATIENT TO ANOTHER TABLE OR OPERATING ROOM IN THE FACILITY. THE STERIS TECHNICIAN WAS INFORMED THE TABLE'S POWER CORD AND AC PLATE ASSEMBLY WERE REPLACED FOLLOWING THE EVENT AND THE DAMAGED COMPONENTS HAD BEEN DISCARDED BY THE FACILITY. THE 3085 SURGICAL TABLE SUBJECT OF THE EVENT WAS INSTALLED IN 2005 AND IS NOT UNDER A STERIS SERVICE CONTRACT. THE USER FACILITY'S BIOMEDICAL DEPARTMENT IS RESPONSIBLE FOR ENSURING THE PROPER PREVENTIVE MAINTENANCE IS PERFORMED AT THE INTERVALS RECOMMENDED IN THE 3085 OPERATOR MANUAL TO ENSURE THE PROPER OPERATION OF THE SURGICAL TABLE.

Description of Event or Problem · 1

THE USER FACILITY REPORTED VIA MW5043482, THAT DURING A PATIENT PROCEDURE, THE FACILITY STAFF DETECTED A BURNING SMELL AND SMOKE EMITTING FROM THE POWER OUTLET FROM WHICH THE 3085 SURGICAL TABLE WAS CONNECTED. THE SURGICAL TABLE WAS IMMEDIATELY DISCONNECTED FROM THE CIRCUIT PLUG AND THE SURGICAL TABLE WAS POWERED DOWN. THERE WAS NO INJURY TO PATIENT OR STAFF REPORTED AND THE PROCEDURE WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
585007 3085 SURGICAL TABLE SURGICAL TABLE FQO STERIS CORPORATION - MONTGOMERY

Patients

Seq Age Sex Outcome Treatment
1