MAUDE Adverse Event Report: STERIS Corporation STERIS 5095 Surigical Table; Surgical Table

Model Number	5095 Surigical Table
Medical Device Problem Code	Unintended Movement (3026)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	08/18/2026
Type of Reportable Event	Malfunction
Event or Problem Description
The user facility reported that during a patient procedure their 5095 surgical table ¿rolled away¿.No report of injury or procedure delay.
Additional Manufacturer Narrative
A steris service technician arrived onsite following the reported event to inspect the unit and could not duplicate the reported event.The table was found to be operating properly and returned to service.No repairs were made.Based on the technician¿s discussion with the user facility biomed department, the cause of the reported event was likely attributed to user facility personnel inadvertently unlocking the table.The 5095 surgical table operator manual states, ¿warning personal injury hazard failure to engage the floor locks before placing a patient on or removing from the table or disengaging the floor locks while a patient is on the table during a surgical procedure could result in the table rolling unexpectedly during the procedure.¿ the technician counseled user facility personnel on the proper use and operation of the table, specifically keeping the floor locks engaged.No additional issues have been reported.

• Brand Name: STERIS 5095 Surigical Table
• Common Device Name: Surgical Table
• Manufacturer (Section D): STERIS Corporation; 2720 gunter park drive east; montgomery AL 36109
• Manufacturer (Section G): STERIS Corporation; 2720 gunter park drive east; montgomery AL 36109
• Manufacturer Contact: daniel davy ; 5960 heisley road; mentor, OH 44060 ; +1(440)259-7401
• MDR Report Key: 50802787
• Report Number: 1043572-2026-00098
• Device Sequence Number: 13398999
• Product Code: FQO
• UDI-Device Identifier: 00724995195694
• UDI-Public: (01)00724995195694(11)250916
• Combination Product (Y/N): N
• Initial Reporter State: MN
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: User Facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 09/17/2026

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
• Operator of Device: Health Professional
• Device Model Number: 5095 Surigical Table
• Device Catalogue Number: ST015210002
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 08/18/2026
• Initial Report FDA Received Date: 09/17/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 09/16/2025
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Unknown