FDA Adverse Event Malfunction Summary report: N

M530 OHX

MDR report key: 20154806 · Received September 6, 2024

Report

Report Number
3003974370-2024-00008
Event Type
Malfunction
Date Received
September 6, 2024
Date of Event
August 26, 2024
Report Date
March 20, 2025
Manufacturer
LEICA MICROSYSTEMS (SCHWEIZ) AG
Product Code
EPT
UDI-DI
07630003577112
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

AN INVESTIGATION OF THE INCIDENT IS CURRENTLY UNDERWAY AND A FOLLOW-UP WILL BE SUBMITTED SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE FOLLOWING INVESTIGATION.

Additional Manufacturer Narrative · 0

UDI / GUDID RELATED DATA QUALITY UPDATES ONLY.

Additional Manufacturer Narrative · 0

THIS IS A FINAL REPORT. AN INVESTIGATION OF THE AFFECTED DEVICE REVEALED THAT THE MALFUNCTION WAS DUE TO A BURNT NTC (R15) ON THE POWER DISTRIBUTION BOARD OF A 4-YEAR-OLD UNIT. IT WAS CONCLUDED THAT THE DEFECT IS A RANDOM COMPONENT FAILURE. REPLACING THE POWER DISTRIBUTION BOARD RESOLVED THE ISSUE AND THE UNIT WORKED ACCORDING TO SPECIFICATIONS.

Description of Event or Problem · 0

LEICA MICROSYSTEMS (SCHWEIZ) AG RECEIVED A COMPLAINT FROM JAPAN STATING THAT AN M530 OHX HAD A LOSS OF ILLUMINATION DURING A SURGICAL PROCEDURE. THERE WAS NO PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1864603 M530 OHX SURGICAL MICROSCOPE EPT LEICA MICROSYSTEMS (SCHWEIZ) AG 10448704 07630003577112

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown