FDA Adverse Event Injury Summary report: N

HANAULUX 2000

MDR report key: 8658363 · Received May 31, 2019

Report

Report Number
9710055-2019-00186
Event Type
Injury
Date Received
May 31, 2019
Date of Event
May 10, 2019
Report Date
March 19, 2020
Manufacturer
MAQUET SAS
Product Code
FTD
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

GETINGE USA SALES, LLC (IMPORTER) IS SUBMITTING THIS REPORT ON BEHALF OF THE LEGAL MANUFACTURER OF THE DEVICE MAQUET SAS, PARC DE LIMÈRE, AVENUE DE LA POMME DE PI ORLÉANS CEDEX 2, FRANCE 45074. EXEMPTION # E2018005. GETINGE USA SALES, LLC 45 BARBOUR POND DRIVE WAYNE, NJ 07470. CONTACT PERSON: (B)(4). THE ISSUE IS BEING INVESTIGATED BY MANUFACTURING SITE. H3 OTHER TEXT: DEVICE NOT RETURNED TO MANUFACTURER

Additional Manufacturer Narrative · 0

GETINGE BECAME AWARE OF AN INCIDENT WITH SURGICAL LIGHT HANAULUX DEVICE. AS IT WAS STATED BY THE CUSTOMER, THERE WERE MISSING METAL PARTICLES. DESPITE THE FACT THAT THIS ISSUE WITH THE DEVICE COULD NOT BE CONFIRMED, WE DECIDED TO REPORT THE ISSUE IN ABUNDANCE OF CAUTION AND BASED ON THE POTENTIAL FOR CONTAMINATION IF THE SITUATION WAS TO REOCCUR, AS ANY OBJECT FALLING INTO THE STERILE FIELD MIGHT BE THE SOURCE OF CROSS CONTAMINATION. IT WAS ESTABLISHED THAT WHEN THE EVENT OCCURRED, THE SURGICAL LIGHT DID MEET ITS SPECIFICATION. WHEN REVIEWING SIMILAR REPORTABLE EVENTS FOR THE SAME DEVICE, WE HAVE BEEN ABLE TO FIND ONE SIMILAR DESCRIPTION COMPARED TO THE SITUATION INVESTIGATED HERE, IN BOTH CASES THE CUSTOMER ALLEGATION COULD NOT BE CONFIRMED. THERE DOES NOT APPEAR TO BE A LINK BETWEEN THEM. WE ARE UNABLE TO STATE THE EXACT ROOT CAUSE, AS THE DEVICE WAS INSPECTED AT THE CUSTOMER SITE AND THERE WAS NO FAULT FOUND, WE CAN CONCLUDE THAT MOST LIKELY ROOT CAUSE IS USER ERROR. GETINGE SHALL CONTINUE TO MONITOR FOR ANY FURTHER EVENTS OF THIS NATURE AND DO NOT PROPOSE ANY FURTHER ACTION AT THIS TIME.

Description of Event or Problem · 0

MAQUET SAS BECAME AWARE OF AN INCIDENT WITH ONE OF SURGICAL LIGHTS- HANAULUX 2000. AS IT WAS STATED, A PIECE OF METAL WAS FOUND IN THE OPERATION ROOM AFTER BRAIN SURGERY AND THE REOPERATION WAS PERFORMED A WEEK AFTER. THE HOSPTIAL STAFF CHECKED THE SURGICAL INSTRUMENTS AND NO DEFECT WAS FOUND. ADDITIONALLY, THERE WAS NO INDICATION THIS METAL PARTICLE WOULD FALL FROM THE SURGICAL LIGHT AS IT WAS INITIALLY INSPECTED AND NO DEFECTS WERE FOUND. FROM ALL INFORMATION AVAILABLE TO DATE, WE CANNOT CONFIRM THAT A MALFUNCTION OF OUR DEVICE OCCURRED HOWEVER WE DECIDED TO REPORT THIS INCIDENT AS ADVERSE EVENT TOOK PLACE.

Description of Event or Problem · 0

MANUFACTURER REFERENCE NUMBER: (B)(4).

Additional Manufacturer Narrative · 1

THE ISSUE IS STILL BEING INVESTIGATED BY MANUFACTURING SITE.

Additional Manufacturer Narrative · 1

(B)(4). EXEMPTION # E2018005. (B)(4). THE ISSUE IS STILL BEING INVESTIGATED BY MANUFACTURING SITE.

Additional Manufacturer Narrative · 1

THE ISSUE IS STILL BEING INVESTIGATED BY MANUFACTURING SITE.

Additional Manufacturer Narrative · 1

THE ISSUE IS STILL BEING INVESTIGATED BY MANUFACTURING SITE.

Additional Manufacturer Narrative · 1

THE ISSUE IS STILL BEING INVESTIGATING BY THE MANUFACTURING SITE.

Additional Manufacturer Narrative · 1

THE ISSUE IS STILL BEING INVESTIGATED BY MANUFACTURING SITE.

Additional Manufacturer Narrative · 1

THE ISSUE IS STILL BEING INVESTIGATED BY MANUFACTURING SITE.

Description of Event or Problem · 1

MANUFACTURER REFERENCE NUMBER: (B)(4).

Description of Event or Problem · 1

MANUFACTURER REFERENCE NUMBER # (B)(4).

Description of Event or Problem · 1

MANUFACTURER REFERENCE NUMBER # (B)(4).

Description of Event or Problem · 1

MANUFACTURER REFERENCE NUMBER: (B)(4).

Description of Event or Problem · 1

MANUFACTURER REFERENCE NUMBER (B)(4).

Description of Event or Problem · 1

MANUFACTURER REFERENCE NUMBER # (B)(4).

Description of Event or Problem · 1

MANUFACTURER REFERENCE NUMBER # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
450897 HANAULUX 2000 LAMP, SURGICAL FTD MAQUET SAS

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention