FDA Adverse Event
Malfunction
Summary report: N
ILED7
MDR report key: 8090346
·
Received November 20, 2018
Report
- Report Number
- 9681407-2018-00069
- Event Type
- Malfunction
- Date Received
- November 20, 2018
- Date of Event
- October 24, 2018
- Report Date
- October 24, 2018
- Manufacturer
- TRUMPF MEDIZIN SYSTEME GMBH + CO. KG
- Product Code
- FSQ
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MD, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 1
DURING INSPECTION, THE TECHNICIAN FOUND THAT THE LIGHT WAS IMPROPERLY ASSEMBLED. THE ROOT CAUSE WAS THE IMPROPER INSTALLATION OF THE STOP SCREW. THE SCREW WAS ADJUSTED AND DEVICE IS FUNCTIONING AS DESIGNED. THE MOBILE STAND VERSION HAS A HIGH TILTING STABILITY. THE FOLLOWING, BASIC PRECAUTIONS MUST BE CONSIDERED WHEN POSITIONING THE MOBILE STAND VERSION. THE STAND MIGHT TILT WHEN THE ROLLERS ARE LOCKED AND EXCESSIVE FORCE IS EXERTED ONTO THE SPRING ARM OR LIGHT HEAD. USER SHOULD AVOID STRONG LEVERAGE ONTO THE SPRING ARM OR THE LIGHT HEAD AND NOT ADD ADDITIONAL LOADS TO THE SPRING ARM.
Description of Event or Problem · 1
DURING ARTICULATION, THE SPRING ARM ROTATED PAST ITS INTENDED STOP AND THE MOBILE LIGHT TIPPED. NO PATIENT OR CAREGIVER INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 932903 | ILED7 | MOBILE LIGHT | FSQ | TRUMPF MEDIZIN SYSTEME GMBH + CO. KG | 4068120 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |