BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VISUM LED II SURGICAL LIGHT

    MDR report key: 2505463 · Received March 16, 2012

    Report

    Report Number
    2031963-2012-00041
    Event Type
    Malfunction
    Date Received
    March 16, 2012
    Date of Event
    February 24, 2012
    Report Date
    February 24, 2012
    Manufacturer
    STRYKER COMMUNICATIONS
    Product Code
    FSY
    PMA / PMN Number
    K060802
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    THERE WAS NO REPORTED PT INVOLVEMENT, THEREFORE, NO PT DATA EXISTS. THE CAMERA COVERS INVOLVED IN THIS REPORT WERE RETURNED FOR EVAL ON MARCH 7, 2012. ADD'L INVESTIGATION IS ONGOING. THE DATALOG NUMBER PROVIDED IS FOR THE IN-LIGHT CAMERA COVER WHICH IS THE COMPONENT IDENTIFIED AS ALLEGEDLY MALFUNCTIONING. EVAL SUMMARY: THE GLASS OF THE STERILIZABLE IN-LIGHT CAMERA COVERS WAS REPORTED TO HAVE SHOWN SIGNS OF CRACKING. SAMPLES OF THESE CRACKED CAMERA COVERS HAVE BEEN RETURNED TO THE MFR AND VISUALLY EVALUATED. FURTHERMORE, A STRYKER ENGINEER VISITED A CUSTOMER ACCOUNT FOR ADD'L EVAL REGARDING THE USE, CLEANING, AND STERILIZING OF THE CAMERA COVERS, BUT NO CONCLUSION AS TO THE CAUSE OF THIS REPORTED EVENT CAN BE DETERMINED AT THIS TIME. THE INVESTIGATION IS ONGOING. THERE WAS NO PT INVOLVEMENT AND NO REPORT OF ANY ADVERSE CONSEQUENCES TO THE PT OR CAREGIVER.

    Description of Event or Problem · 1

    (B)(4). IT WAS REPORTED THAT FOLLOWING A SINGLE STERILIZATION CYCLE, THE LENS OF THE INLIGHT CAMERA COVER WAS ALLEGEDLY CRACKED. THERE WAS NO PT INVOLVEMENT REPORTED AND NO ADVERSE CONSEQUENCE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VISUM LED II SURGICAL LIGHT FSY STRYKER COMMUNICATIONS

    Patients

    Seq Age Sex Outcome Treatment
    1