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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MIZUHO ORTHOPEDIC SYSTEMS, INC. PROAXIS® SPINAL SURGERY TABLE; TABLE, SURGICAL WITH ORTHOPEDIC ACCESSORIES, AC-POWERED

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MIZUHO ORTHOPEDIC SYSTEMS, INC. PROAXIS® SPINAL SURGERY TABLE; TABLE, SURGICAL WITH ORTHOPEDIC ACCESSORIES, AC-POWERED Back to Search Results
Model Number 6988
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/01/2024
Type of Reportable Event Malfunction
Event or Problem Description
On november 1, 2024, hospital staff working in a storage area reported hearing unusual noises emanating from the direction of the pro-axis bed.Upon closer inspection, it was observed that smoke was rising from the base of the bed.Within seconds, additional smoke began to appear, accompanied by an acrid smell indicative of burnt electrical equipment.The pro-axis bed was immediately unplugged, and the bed was safely removed from the storage area to prevent further exposure to smoke and potential hazards.A visual inspection of the mizuho bed and its power cord was conducted, revealing no visible damage or signs of electrical burns.The bed has been removed from service and a request for repair of the mizuho bed has been placed, and we are currently awaiting the vendor's arrival on-site to conduct a thorough examination and necessary repairs.This incident appears to be isolated, as there have been no previous issues reported with the mizuho bed.
 
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Brand Name
PROAXIS® SPINAL SURGERY TABLE
Common Device Name
TABLE, SURGICAL WITH ORTHOPEDIC ACCESSORIES, AC-POWERED
Manufacturer (Section D)
MIZUHO ORTHOPEDIC SYSTEMS, INC.
30031 ahern ave
union city CA 94587
MDR Report Key20877898
Report Number20877898
Device Sequence Number19332927
Product Code JEA
Combination Product (Y/N)N
Initial Reporter StateCA
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type User Facility
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 11/27/2024
Report Date (Section F) 11/27/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Model Number6988
Device Catalogue Number6988
Was Device Available for Evaluation? Yes
Was the Report Sent to FDA? Yes
Date Report to Manufacturer12/09/2024
Initial Date Received by Manufacturer Not provided
Initial Report FDA Received Date12/09/2024
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
Date Report Sent to FDA11/27/2024
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