inforMED
MalfunctionIZZ

COMPAX 40E

Received Apr 30, 2009 · Event occurred Mar 30, 2009

Report 2126677-2009-00031 · MDR key 1426096

Device

Model number

2146726

Catalog number

NA

Lot number

NA

Product problems

  • Component Falling

Patient

NA

  • No Patient Involvement

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE WALL STAND BUCKY HOLDER ASSEMBLY FELL FROM APPROXIMATELY 2 FEET ABOVE THE GROUND AND CONTACTED THE FLOOR. PRIOR TO THE INCIDENT, NO PATIENT WAS IN THE ROOM AND THE TECHNOLOGIST NEAR THE WALL STAND WAS SETTING UP THE ASSEMBLY. WHEN THE TECHNOLOGIST TURNED AROUND, THE ASSEMBLY FELL. THERE WAS NO INJURY SUSTAINED AS THERE WAS NO CONTACT WITH THE TECHNOLOGIST. DUE TO THE WEIGHT OF THE ASSEMBLY, THE CONCERN IS FOR A SERIOUS INJURY IF THE ASSEMBLY WERE TO FALL AND CONTACT A PATIENT OR TECHNOLOGIST.

Additional Manufacturer Narrative

THE ASSEMBLY IS MOUNTED BY SMALL METRIC SCREWS ON THE TOP AND BOTTOM OF THE BUCKY TRAY ASSEMBLY. DURING INSPECTION, THE GE FIELD ENGINEER (FE) FOUND THAT THE MOUNTING SCREWS AT THE BOTTOM OF THE ASSEMBLY HAD COME LOOSE AND BROKE. THE FE ALSO INSPECTED THE ASSEMBLY AND FOUND THAT THE BOTTOM TRIM COVER WAS DAMAGED AS A RESULT OF THE FALL. THE FE REPLACED BOTH THE BOTTOM TRIM COVER AND THE MOUNTING SCREWS.