FDA Adverse Event
Malfunction
Summary report: N
ILED DUO
MDR report key: 7152057
·
Received December 28, 2017
Report
- Report Number
- 9681407-2017-00048
- Event Type
- Malfunction
- Date Received
- December 28, 2017
- Date of Event
- December 1, 2017
- Report Date
- December 1, 2017
- Manufacturer
- TRUMPF MEDIZIN SYSTEME GMBH + CO. KG
- Product Code
- FSY
- PMA / PMN Number
- K061317
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
A TRUMPF MEDICAL SERVICE TECHNICIAN INSPECTED THE LIGHT SYSTEM AND FOUND THE THE RETAINING SEGMENT GROOVE WAS WORN. THIS ALLOWED THE MONITOR BRACKET TO DESCEND BELOW THE SPRING ARM'S STOP. THE SERVICE TECHNICIAN REPLACED THE FLAT PANEL BRACKET AND THE DEVICE OPERATED AS INTENDED.
Description of Event or Problem · 1
THE FLAT PANEL BRACKET OF A TRUMPF MEDICAL SURGICAL LIGHT BEGAN TO SEPARATE FROM THE SPRING ARM, ALLOWING IT TO FREELY ROTATE BEYOND THE STOPS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 930183 | ILED DUO | SURGICAL LIGHT | FSY | TRUMPF MEDIZIN SYSTEME GMBH + CO. KG | 1565160 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |