FDA Adverse Event Malfunction Summary report: N

3080RL SURGICAL TABLE

MDR report key: 9541002 · Received January 2, 2020

Report

Report Number
1043572-2020-00001
Event Type
Malfunction
Date Received
January 2, 2020
Date of Event
December 3, 2019
Report Date
January 2, 2020
Manufacturer
STERIS CORPORATION - MONTGOMERY
Product Code
FWW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A STERIS SERVICE TECHNICIAN ARRIVED ON SITE FOLLOWING THE REPORTED EVENT TO INSPECT THE 3080RL SURGICAL TABLE AND COULD NOT DUPLICATE THE REPORTED EVENT. NO ISSUES WITH THE FUNCTION OR OPERATION OF THE SURGICAL TABLE WERE IDENTIFIED. THE 3080RL SURGICAL TABLE WAS INSTALLED IN DECEMBER 1992, MAKING THE TABLE APPROXIMATELY 27 YEARS OLD. THE 3080RL SURGICAL TABLE HAS A STATED USEFUL LIFE OF 10 YEARS. STERIS HAS PROVIDED THE CUSTOMER A QUOTE FOR A NEW TABLE. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.

Description of Event or Problem · 1

THE USER FACILITY REPORTED THAT DURING A PATIENT PROCEDURE, THE LEG SECTION OF THEIR 3080RL SURGICAL TABLE SLOWLY DRIFTED DOWNWARD WITHOUT BEING COMMANDED TO DO SO. THE USER FACILITY USED THE HAND CONTROL TO RE-POSITION THE TABLE AND THE PROCEDURE WAS COMPLETED SUCCESSFULLY. NO REPORT OF INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
4665 3080RL SURGICAL TABLE SURGICAL TABLE FWW STERIS CORPORATION - MONTGOMERY

Patients

Seq Age Sex Outcome Treatment
1