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