MalfunctionJAE
TRUSYSTEM
Received Jan 16, 2019 · Event occurred Dec 17, 2018
Report 8252270 · MDR key 8252270
Device
Generic name
Table, Surgical With Orthopedic Accessories, Ac-powered
Manufacturer
Trumpf Medical Systems, Inc. (hill-rom, Inc.)Model number
7000DVLot number
102787453
Product problems
- Unintended Movement
- Noise, Audible
Patient
Not reported
- No Consequences Or Impact To Patient
- No Consequences Or Impact To Patient
Narrative
Description of Event or Problem
ANESTHESIA STAFF PRESSED THE CONTROL BUTTON TO MOVE THE BED INTO REVERSE TRENDELENBERG POSITION INTRAOPERATIVELY, THE BED MADE A VERY LOUD CRACKING NOISE AND SUDDENLY DROPPED ABOUT AN INCH WITH THE PATIENT ON IT. THE IMMEDIATE AREA WAS INSPECTED, NO OBSTRUCTIONS TO BED MOVEMENT FOUND. THE BED SUBSEQUENTLY RESUMED NORMAL OPERATION. NO HARM TO THE PATIENT.