A steris service technician arrived onsite following the reported event to inspect the 66" evolution transfer carriage and found that the transfer carriage's locks were not adjusted properly.This caused the lock pin to not properly engage, making the transfer carriage unstable and allowing the loading rack to fall.If the locking pin is not at the proper height while loading and unloading, it may cause the transfer carriage to not properly engage with the docking station subsequently allowing the transfer carriage and loading rack to fall.The technician adjusted the locks correctly, tested the unit, and found it to be operating according to specification.The transfer carriage was returned to service.The evolution transfer carriage was manufactured in may 2017 and is not under steris service agreement for maintenance activities.The facility's biomed department is responsible for all maintenance activities.While onsite, the technician counseled the facility's biomed department on the proper maintenance of the evolution transfer carriage specifically, making sure the locks are adjusted properly at least once a year.No additional issues have been reported.
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