The armboard was removed from service following the reported event.A steris service technician arrived onsite following the reported event to inspect the armboard and found there to be a small crack on the bottom side of the armboard.Photographs of the damaged armboard were reviewed by steris engineering.The photographs reveal a stress fracture from excess weight being applied over time to that section of the armboard.The armboard instructions for use states: "warning - personal injury and/or equipment damage hazard: do not use equipment if worn, damaged or cannot be securely tightened.Cracked or splintered surfaces may cause injury.Inspect armboard prior to use.Damaged armboard must be replaced.Read and understand all instructions prior to use.If technical assistance or additional instructions are needed, call steris." at this time the customer has made no attempt to replace the armboard.A steris account manager offered in-service training on the proper use of the armboard however, the user facility declined.No additional issues have been reported.
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