MAUDE MDR 3958101

MDR report key
3958101
Report number
1043572-2014-00062
Event key
0
Event type
3
Date of event
2014-06-21
Date received
2014-07-25
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
MS KATHRYN CADORETTE
Address
5960 HEISLEY ROAD MENTOR OH 44060 US
Phone
440-440-4403
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ORTHOVISION TABLESURGICAL TABLESTERIS CORPORATION - MONTGOMERYJEBY Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12014-07-2501. O

Event Narratives#

D

Patient 1

THE USER FACILITY REPORTED THAT DURING A PATIENT PROCEDURE THEIR ORTHOVISION TABLE DID NOT RISE IN HEIGHT ALL THE WAY. NO INJURIES OR PROCEDURAL DELAYS/CANCELLATIONS WERE REPORTED.

N

Patient 1

A STERIS SERVICE TECHNICIAN ARRIVED AT THE FACILITY, INSPECTED THE TABLE AND CONFIRMED THE TABLE WAS OPERABLE. THE TECHNICIAN CHECKED THE HYDRAULIC FLUID LEVEL OF THE TABLE AND INSPECTED THE HYDRAULIC SYSTEM FOR LEAKS. THE TECHNICIAN CONFIRMED THE TABLE TO BE OPERATIONAL AND RETURNED IT TO SERVICE. STERIS OFFERED IN-SERVICE TRAINING ON THE PROPER USE AND OPERATION OF THE TABLE TO THE USER FACILITY AND IS AWAITING A RESPONSE.

N

Patient 1

STERIS' OFFER OF IN-SERVICE TRAINING WAS DECLINED BY THE USER FACILITY.