BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    QUANTA SYSTEM S.P.A.

    MDR report key: 3899283 · Received May 21, 2014

    Report

    Report Number
    3004378299-2014-00033
    Event Type
    Malfunction
    Date Received
    May 21, 2014
    Date of Event
    May 1, 2014
    Report Date
    May 19, 2014
    Manufacturer
    QUANTA SYSTEM, S.P.A.
    Product Code
    GEX
    PMA / PMN Number
    K091909
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE PROBLEM WAS NOT DUPLICATED, BUT A DEFECTIVE FOOTSWITCH WAS FOUND. AFTER THE REPLACEMENT OF THAT COMPONENT, THE LASER SYSTEM RESTARTED TO WORK. WE ARE UNAWARE ABOUT PATIENT INJURY.

    Description of Event or Problem · 1

    THE LASER SYSTEM HAS THE FOLLOWING PROBLEM: "LASER DISPLAYED MPS NO END OF CHARGE ERROR WHEN PLACED INTO READY MODE".

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    303930 QUANTA SYSTEM S.P.A. SURGICAL LASER GEX QUANTA SYSTEM, S.P.A. LITHO

    Patients

    Seq Age Sex Outcome Treatment
    1