FDA Adverse Event Malfunction Summary report: N

OPERON D860 SEAT,CFK,STAINLESS,POWERDRV

MDR report key: 6425263 · Received March 22, 2017

Report

Report Number
0008010153-2017-00016
Event Type
Malfunction
Date Received
March 22, 2017
Date of Event
February 24, 2017
Report Date
October 18, 2017
Manufacturer
BERCHTOLD GMBH & CO. KG
Product Code
GDC
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

IT WAS REPORTED THAT THE RIGHT LEG OF THE SPLIT LEG ALLEGEDLY WILL NOT STAY UP AND LOWERS SLOWLY. THE TABLE IS SCHEDULED TO BE RETURNED TO STRYKER FOR FURTHER INVESTIGATION. ONCE THE INVESTIGATION IS COMPLETE, A SUPPLEMENTAL WILL BE FILED. THERE WAS NO PATIENT INVOLVEMENT, INJURY OR ADVERSE CONSEQUENCE REPORTED.

Additional Manufacturer Narrative · 1

A CAPA WAS INITIATED TO FURTHER INVESTIGATE THE REPORTED EVENT OF THE REPORTED UNINTENDED MOVEMENT. THROUGH INVESTIGATION, THE TABLES WERE FOUND TO MEET DESIGN SPECIFICATIONS. WITHIN THE CAPA THERE ARE MULTIPLE POTENTIAL ROOT CAUSES WHICH MAY HAVE ATTRIBUTED TO THIS COMPLAINT. AS A RESULT, EACH POTENTIAL ROOT CAUSE WAS ASSESSED AND ACTION HAVE BEEN TAKEN TO PREVENT FUTURE OCCURRENCES AS RELATED. ALSO THROUGH INVESTIGATION, ALONG WITH MULTIPLE CONSULTATIONS WITH PHYSICIANS, IT WAS DETERMINED THAT THE RISKS INVOLVED WITH THIS EVENT HAS A LIMITED SEVERITY AND A NEGLIGIBLE OCCURRENCE OF HARM ASSOCIATED WITH IT. NO INJURIES HAVE BEEN REPORTED AS A RESULT OF UNINTENDED MOVEMENT OF THE SURGICAL TABLE AND IT IS UNLIKELY THAT ANY INJURIES WOULD RESULT IF THIS EVENT WERE TO REOCCUR.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE RIGHT LEG OF THE SPLIT LEG ALLEGEDLY WILL NOT STAY UP AND LOWERS SLOWLY. THERE WAS NO PATIENT INVOLVEMENT, INJURY OR ADVERSE CONSEQUENCE REPORTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE RIGHT LEG OF THE SPLIT LEG ALLEGEDLY WILL NOT STAY UP AND LOWERS SLOWLY. THERE WAS NO PATIENT INVOLVEMENT, INJURY OR ADVERSE CONSEQUENCE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
207123 OPERON D860 SEAT,CFK,STAINLESS,POWERDRV TABLE, OPERATING-ROOM, ELECTRICAL GDC BERCHTOLD GMBH & CO. KG

Patients

Seq Age Sex Outcome Treatment
1