inforMED
OtherKHX

OLYMPUS

Received Aug 10, 2000 · Event occurred Jun 7, 2000

Report 9611174-2000-00001 · MDR key 290227

Device

Generic name

Mobile Endoscopy Workstation

Catalog number

7284292

Lot number

113644

Product problems

  • Detachment Of Device Component
  • Component Falling
  • Loose
  • Other (for use when an appropriate device code cannot be identified)
  • Device Tipped Over

Patient

NA

  • Cut(s)

Narrative

Description of Event or Problem

THE HEAD OF MEDICAL PHYSICS CALLED KEYMED TO REPORT THAT A 20" TV MONITOR, COMPLETE WITH ITS SUPPORT COLUMN, HAD BECOME DETACHED FROM AN OLYMPUS WM-30 MOBILE WORKSTATION WHEN THE MONITOR HAD STRUCK AN OVERHEAD THEATRE LIGHT GANTRY WHILE BEING MOVED BETWEEN DEPARTMENTS. EXAMINATION SHOWED THAT ALL FOUR OF THE M8 X 55MM SCREWS WHICH SHOULD SECURE THE SUPPORT COLUMN TO THE TOP TRAY OF THE WM-30 HAD WORKED LOOSE FROM THE UNIT, LEAVING IT SUPERFICIALLY FIXED BY ONLY TWO M3 SCREWS, WHICH WERE NOT DESIGNED TO SUPPORT THE WEIGHT OF THE MONITOR. THE MONITOR FELL DOWN THE FRONT OF THE WM-30, ATTACHED ONLY BY SIGNAL CABLES AT THE REAR, CAUSING THE WORKSTATION TO TOPPLE OVER. NO ONE SUFFERED SERIOUS INJURY IN THE INCIDENT, BUT ONE MEMBER OF STAFF SUSTAINED A CUT TO THE LEFT ARM WHEN STAFF TRIED TO PREVENT THE MONITOR FROM FALLING.

Remedial action

  • Notification