FDA Adverse Event Malfunction Summary report: N

SKYTRON STELLAR XL

MDR report key: 15518699 · Received September 30, 2022

Report

Report Number
3006437518-2022-00002
Event Type
Malfunction
Date Received
September 30, 2022
Date of Event
February 10, 2022
Report Date
September 7, 2022
Manufacturer
DAI-ICHI SHOMEI CO., LTD.
Product Code
FTA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

ACCORDING TO THE DISTRIBUTOR, IMPROPER CLEANING BY CLEANING STAFF AT THE HOSPITAL MIGHT HAVE CAUSED THIS ISSUE, BUT DUE TO THE HIGH TURNOVER WITH CLEANING STAFF IT WAS UNABLE TO CONFIRM THE CLEANING PROCESS USED FOR AFFECTED DEVICES.

Description of Event or Problem · 0

ON (B)(6) 2022, DKK WAS INFORMED THAT SURGICAL LIGHTS AT (B)(6) HOSPITAL AND CLINIC HAD EXPERIENCED RUSTING IN THE JOINTS AND CORROSION AND FLAKING OF POWER COATING. MAJORITY OF RUSTING AND DAMAGE WERE PRESENT IN CREVICES OF LIGHT HEAD AND COMPONENTS, WITH PAINT FLAKING ON COMPONENTS UP HIGH SUCH AS LOWER MONITOR ARM HUBS AND LIGHT SPINDLES. NO PATIENT INVOLVEMENT OR INJURY HAS BEEN REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2185592 SKYTRON STELLAR XL LIGHT, SURGICAL, ACCESSORIES FTA DAI-ICHI SHOMEI CO., LTD. STX5

Patients

Seq Age Sex Outcome Treatment
1 Unknown