FDA Adverse Event Malfunction Summary report: N

POWERLED

MDR report key: 12974413 · Received December 10, 2021

Report

Report Number
9710055-2021-00372
Event Type
Malfunction
Date Received
December 10, 2021
Date of Event
November 4, 2021
Report Date
January 21, 2022
Manufacturer
MAQUET SAS
Product Code
FSY
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

IT APPEARED THAT THE ISSUE REPORTED UNDER MANUFACTURER¿S REFERENCE NUMBER: (B)(4).(REPORT NUMBER: 9710055-2021-00372) IS NOT RELATED TO MAQUET SAS PRODUCT, BUT THE PRODUCT OWNED BY ANOTHER COMPANY (PETER ALBRECHT COMPANY) WHO HAS BEEN INFORMED ABOUT THE COMPLAINT AND FURTHER INVESTIGATION / ADDITIONAL INFORMATION IS AT THEIR DISCRETION. THE COMPLAINT IS THEN CONSIDERED AS CLOSED ON OUR SIDE.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION WILL BE PROVIDED UPON RESULTS OF INVESTIGATION.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION WILL BE PROVIDED FOLLOWING THE CONCLUSION OF THE INVESTIGATION. DEVICE NOT RETURNED TO MANUFACTURER.

Description of Event or Problem · 0

MANUFACTURER'S REFERENCE NUMBER OT (B)(4).

Description of Event or Problem · 0

MANUFACTURER'S REFERENCE NUMBER OT (B)(4).

Description of Event or Problem · 0

ON (B)(6) 2021 GETINGE BECAME AWARE OF AN ISSUE WITH ONE OF SURGICAL LIGHTS - POWERLED. THE HANDLE OF THE LIGHT HEAD DETACHED FROM THE DEVICE. WE DECIDED TO REPORT THE ISSUE IN ABUNDANCE OF CAUTION AS ANY PARTS FALLING OFF INTO STERILE FIELD OR DURING PROCEDURE MAY CAUSE CONTAMINATION OR INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1873075 POWERLED LIGHT, SURGICAL, CEILING MOUNTED FSY MAQUET SAS

Patients

Seq Age Sex Outcome Treatment
1 Unknown