COMPAX 40E
Received Apr 1, 2009 · Event occurred Mar 6, 2009
Report 2126677-2009-00024 · MDR key 1418666
Device
Product problems
- Device Slipped
- Unintended Movement
Patient
NA
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
IT WAS REPORTED THAT THE TABLE LOCKS DID NOT ACTUATE WHEN THE FOOT PEDAL WAS RELEASED, CAUSING THE TABLETOP TO UNEXPECTEDLY MOVE WITHOUT RESISTANCE IN BOTH LONGITUDINAL AND LATERAL DIRECTIONS (FREE FLOAT). THERE WAS NO INJURY REPORTED. THIS SITUATION COULD CONTRIBUTE TO AN INJURY IF A PT OR OPERATOR WERE UNAWARE OF THIS CONDITION WHILE LOADING OR UNLOADING A PT. THE ENSUING INSTABILITY COULD LEAD TO A FALL.
Additional Manufacturer Narrative
THE GE FIELD ENGINEER (FE) FOUND THAT THE UNEXPECTED FLOAT WAS A RESULT OF A POWER LOSS TO THE TABLE LOCKS DUE TO A BLOWN FUSE. THE FE REPLACED THE FUSE AND VERIFIED THAT THE TABLE LOCKS WERE WORKING AS EXPECTED.