FDA Adverse Event Malfunction Summary report: N

TRUMPF TABLE TOP FRAME

MDR report key: 7278192 · Received February 16, 2018

Report

Report Number
3010216206-2018-00001
Event Type
Malfunction
Date Received
February 16, 2018
Date of Event
January 18, 2018
Report Date
January 18, 2018
Manufacturer
ALLEN MEDICAL SYSTEMS
Product Code
FWZ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

TESTING SHOWS THAT WHEN THE TRUMPF TABLE TOP RAIL SECTION CLAMP (F-T3RAILSC) IS USED TO SUPPORT THE TRUMPF TABLE TOP LEG SUPPORT, THE WEIGHT OF THE LEG MAY EXCEED THE CAPACITY OF THE TRUMPF TABLE TOP RAIL SECTION CLAMPS RESULTING IN A LOSS OF STRUCTURAL INTEGRITY. AS AN INDIVIDUAL COMPONENT, THE TRUMPF TABLE TOP RAIL SECTION CLAMP WAS NOT DESIGNED TO BE USED AS A TRUMPF TABLE TOP LEG SUPPORT CLAMP AND IS LABELED ¿FOR USE WITH ARMBOARDS ONLY¿. THE ROOT CAUSE FOR INCORRECT INSTALLATION IS THE INSTRUCTION FOR USE(IFU) D-720595, REV A3, PAGE 6 INCORRECTLY IDENTIFIES THAT THE TRUMPF TABLE TOP RAIL SECTION CLAMP CAN BE USED TO SUPPORT A TRUMPF TABLE TOP LEG SUPPORT ASSEMBLY. THE FIELD ACTION IS IN PROCESS OF BEING INITIATED AND CLASSIFIED.

Description of Event or Problem · 1

ALLEN MEDICAL RECEIVED A REPORT FROM THE ACCOUNT STATING THE PATIENT WAS POSITIONED ON A T3 PRONE TRUMPF TABLE WITH LOWER LEGS ON DETACHABLE FOOTBOARD. AFTER THE PATIENT WAS DRAPED AND SURGEON BEGAN EXPOSING, THE FOOTBOARD FELL DOWN AND UPLIFTED FROM WHERE IT WAS ATTACHED TO THE FRAME. THE BED WAS LOCATED AT THE ACCOUNT. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT #(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
122268 TRUMPF TABLE TOP FRAME TABLE TOP SPINE FRAME FWZ ALLEN MEDICAL SYSTEMS F-T3RAILSC

Patients

Seq Age Sex Outcome Treatment
1 Other