FDA Adverse Event
Malfunction
Summary report: N
COMPACT LASER
MDR report key: 24737
·
Received August 21, 1995
Report
- Report Number
- MW1006742
- Event Type
- Malfunction
- Date Received
- August 21, 1995
- Date of Event
- July 20, 1995
- Report Date
- August 9, 1995
- Manufacturer
- HGM MEDICAL LASER SYSTEMS, INC.
- Product Code
- GEX
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NJ, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
CIRCUIT BREAKER WAS TRIPPING WHEN POWER WAS INCREASED TO 1 WATT. INSTALLATION INSTRUCTIONS REQUIRE 20 AMP CIRCUIT. EQUIPMENT WAS USED ON 20 AMP CIRCUIT, HOWEVER BREAKERS TRIPPED. UPON TESTING BY IN-HOUSE BIOMEDICAL ENGINEERING DEPT, IT WAS FOUND THAT THE 20 AMP CIRCUIT WAS INADEQUATE. CO THEN INSTRUCTED RPTR TO INSTALL A 20 AMP LONG DELAY STYLE CIRCUIT BREAKER. PARTS ARE ORDERED AND WILL BE INSTALLED AS SOON AS THEY ARRIVE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | COMPACT LASER | COMPACT LASER | GEX | HGM MEDICAL LASER SYSTEMS, INC. | 110 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |