FDA Adverse Event Malfunction Summary report: N

ASPEN SURGICAL'S ALC PLUS DISPOSABLE LIGHT HANDLE COVER STERILE

MDR report key: 10276686 · Received July 15, 2020

Report

Report Number
1836161-2020-00032
Event Type
Malfunction
Date Received
July 15, 2020
Date of Event
June 17, 2020
Report Date
June 17, 2020
Manufacturer
ASPEN SURGICAL PRODUCTS, CALEDONIA
Product Code
FTA
PMA / PMN Number
K020304
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ASPEN SURGICAL RECEIVED A REPORT FROM THE END USER INDICATING THAT A LIGHT HANDLE COVER FELL DURING A PROCEDURE. NO INJURY/DEATH WAS REPORTED. SAMPLE WAS AVAILABLE FOR EVALUATION. SAMPLES WERE TESTED FOR DIMENSIONAL ACCURACY WITH NO ISSUES DISCOVERED. FURTHER RESEARCH FOUND THAT END USERS WERE EXPERIENCING ISSUES WITH THE ALC COVERS USING TRUMPF ILED7 LIGHTS WITH AN SLC HANDLE. ASPEN'S PRODUCT BROCHURE FOR THE LT-ALC01 STATE THAT IT IS FOR USE WITH TRUMPF ALC SURGICAL LIGHT HANDLE MODELS: TRULIGHT 5000 AND ILED 3/5. PER THIS LITERATURE, THE ALC IS NOT COMPATIBLE WITH THE ILED7 SURGICAL LIGHT. DUE TO THIS INCOMPATIBILITY WITH THE ILED7, THIS PREVENTS THE LT-ALC01 COVER FROM FULLY ENGAGING THE SNAP BUTTON ON THE SLC CAUSING THE HANDLE TO BE INCORRECTLY SECURED. THEREFORE, THE CAUSE CAN BE ATTRIBUTED TO OFF LABEL USE BY THE END USER. LIGHT HANDLES IDENTIFIED WERE USED ON A SURGICAL LIGHT MODEL FOR WHICH THEY WERE NOT DESIGNED OR CLAIMED BY ASPEN AS COMPATIBLE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

ASPEN SURGICAL RECEIVED A REPORT FROM THE END USER INDICATING THAT A LIGHT HANDLE COVER FELL DURING A PROCEDURE. NO INJURY/DEATH WAS REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS NUMBER (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
738984 ASPEN SURGICAL'S ALC PLUS DISPOSABLE LIGHT HANDLE COVER STERILE LIGHT HANDLE FTA ASPEN SURGICAL PRODUCTS, CALEDONIA LT-ALC01 222866

Patients

Seq Age Sex Outcome Treatment
1