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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STERIS CORPORATION - MONTGOMERY OT1100 SURGICAL TABLE

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STERIS CORPORATION - MONTGOMERY OT1100 SURGICAL TABLE Back to Search Results
Device Problem Device Displays Incorrect Message (2591)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 05/11/2017
Event Type  malfunction  
Manufacturer Narrative
A steris service technician arrived at the facility following the event and inspected the ot1100 surgical table including the gross traction mechanisms.The technician's evaluation identified that one of the gross tracking locking mechanisms had loosened preventing the device from consistently locking into position.The technician was informed that during the reported event, the facility was able to correctly lock the gross tracking mechanism into position after the initial attempt; the procedure was completed successfully.The technician replaced the table's gross traction locking mechanisms, tested the table and returned the unit to service.
 
Event Description
The user facility reported that during a patient procedure, the gross traction assembly did not operate as designed.The procedure was successfully completed by the surgical staff.No injuries to patient or staff were reported.
 
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Brand Name
OT1100 SURGICAL TABLE
Type of Device
SURGICAL TABLE
Manufacturer (Section D)
STERIS CORPORATION - MONTGOMERY
2720 gunter park drive east
montgomery AL 36109
Manufacturer (Section G)
STERIS CORPORATION - MONTGOMERY
2720 gunter park drive east
montgomery AL 36109
Manufacturer Contact
lyndsey snyder
5960 heisley road
mentor, OH 44060
4403927386
MDR Report Key6622387
MDR Text Key77300526
Report Number1043572-2017-00039
Device Sequence Number1
Product Code FQO
Combination Product (y/n)N
Reporter Country CodeCA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type user facility
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 06/08/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/08/2017
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Date Manufacturer Received05/11/2017
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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