FDA Adverse Event
Malfunction
Summary report: N
500 XLE OPHTHALMIC SURGERY EYE CHAIR
MDR report key: 20383801
·
Received October 7, 2024
Report
- Report Number
- 20383801
- Event Type
- Malfunction
- Date Received
- October 7, 2024
- Date of Event
- August 21, 2024
- Report Date
- September 27, 2024
- Manufacturer
- UFSK-INTERNATIONAL OSYS GMBH
- Product Code
- HME
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
SURGICAL EYE CHAIR MALFUNCTIONED AND BURNING SMELL & SMALL AMOUNT OF SMOKE NOTED AT CORD AND BATTERY CONNECTION POINT, CHAIR WAS SWAPPED OUT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 283353 | 500 XLE OPHTHALMIC SURGERY EYE CHAIR | CHAIR, OPHTHALMIC, AC-POWERED | HME | UFSK-INTERNATIONAL OSYS GMBH | 15000004 500 XLE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 2 MO | Female |