COMPAX 40E 2225864 NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2009-02-26 for COMPAX 40E 2225864 NA manufactured by Ge Medical Systems, Llc.

Event Text Entries

[1074075] It was reported the table locks did not actuate, causing the tabletop to unexpectedly move in both longitudinal and lateral directions without resistance (free float). There was no injury reported. This situation could contribute to an injury if a patient or operator were unaware of this condition while loading or unloading a patient. The ensuing instability could lead to a fall.
Patient Sequence No: 1, Text Type: D, B5


[8186846] Preliminary inspection performed by the ge field engineer (fe) revealed that the alleged float was caused by power loss to the table locks due to a blown fuse. The fe replaced the fuse, but it was reported that the power loss reoccurred the next day. Further investigation showed that the left table horizontal lock was loose. Hardware had fallen out and the lock was moving around and was intermittently shorting out against terminal strip, hence blowing the fuse. The fe fastened the lock back into place and verified that the reported issue did not recur.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2126677-2009-00011
MDR Report Key1334720
Report Source05
Date Received2009-02-26
Date of Report2009-02-01
Date of Event2009-02-01
Date Mfgr Received2009-02-01
Device Manufacturer Date1999-04-01
Date Added to Maude2009-12-18
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMARTHA KAMROW
Manufacturer Street3000 N GRANDVIEW BLVD., W709
Manufacturer CityWAUKESHA WI 53188
Manufacturer CountryUS
Manufacturer Postal53188
Manufacturer Phone2623127196
Manufacturer G1GE MEDICAL SYSTEMS, LLC
Manufacturer Street3000 N GRANDVIEW BLVD.
Manufacturer CityWAUKESHA WI 53188
Manufacturer CountryUS
Manufacturer Postal Code53188
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCOMPAX 40E
Product CodeIZZ
Date Received2009-02-26
Model Number2225864
Catalog NumberNA
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerGE MEDICAL SYSTEMS, LLC
Manufacturer Address3000 N GRANDVIEW BLVD. WAUKESHA WI 53188 US 53188


Patients

Patient NumberTreatmentOutcomeDate
10 2009-02-26

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