inforMED
MalfunctionIZZ

COMPAX 40E

Received May 14, 2009 · Event occurred Mar 2, 2009

Report 2126677-2009-00037 · MDR key 1461161

Device

Model number

2231458

Catalog number

NA

Lot number

NA

Product problems

  • Unintended System Motion
  • Device Slipped

Patient

NA`

  • No Patient Involvement

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE TABLE LOCKS DISENGAGED, CAUSING THE TABLETOP TO UNEXPECTEDLY FREE FLOAT IN BOTH THE LONGITUDINAL AND LATERAL DIRECTIONS. THERE WAS NO INJURY OR PT INVOLVEMENT REPORTED. THIS SITUATION COULD CONTRIBUTE TO ANY 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 FLOAT WAS CAUSED BY LOSS OF POWER TO THE TABLE LOCKS. THE POWER LOSS WAS ATTRIBUTED TO A DAMAGED 1.25A FUSE. THE FE REPLACED THE FUSE AND VERIFIED THAT THE LOCKS WERE FUNCTIONING NOMINALLY.