inforMED
MalfunctionIZZ

COMPAX 40E

Received Dec 30, 2008 · Event occurred Oct 21, 2008

Report 2126677-2008-00106 · MDR key 1301364

Device

Product problems

  • Loss of Power
  • Locking mechanism failure

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE TABLE LOCKS DID NOT ACTUATE WHEN THE TECHNOLOGIST RELEASED THE FOOT PEDAL DUE TO POWER LOSS, CAUSING THE TABLETOP TO UNEXPECTEDLY MOVE IN BOTH LATERAL AND LONGITUDINAL DIRECTIONS WITHOUT RESISTANCE (FREE FLOAT). THERE WAS NO INJURY REPORTED. THIS SITUATION COULD CONTRIBUTE TO AN INJURY IF A PATIENT OR OPERATOR WERE UNAWARE OF THIS CONDITION WHILE LOADING OR UNLOADING A PATIENT. THE ENSUING INSTABILITY COULD LEAD TO A FALL.

Additional Manufacturer Narrative

THE GE FIELD ENGINEER (FE) FOUND A BLOWN FUSE IN THE TABLE BASE THAT POWERS THE TABLE LOCKS. THE FE REPLACED THE FUSE AND VERIFIED THAT THE LOCKS WERE PERFORMING ACCORDING TO SPECIFICATIONS.