Investigation: a terumo bct service technician checked out the machine at the customer site and was able to confirm the reported condition.Upon inspection, it was found that the iv pole button screw was out of position.The button screw was adjusted and functional tests verified the iv pole was operating per manufacturer specification.The device serial number history report indicates no further related issues have been reported for this device.One year of service history was reviewed for this device with no other problems identified related to the reported condition.Trima field action 30 has been initiated to notify all trima users to use precaution while transporting the device and a caution statement was included in the operator's manual.Corrective action: an internal capa has been initiated to evaluate reports of the iv pole dropping down suddenly.Implementation of the addition of a collar for the currently field installed devices will be completed to address this issue.The iv pole clamp was not installed at the time of the incident.Root cause: the root cause of this failure was the iv pole button screw was misaligned.
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