Haag Streit Surgical Floor stands FS 2-11 (Ref no. 615H511) and FS 2-15 (Ref no. 615H515) in combination with the operating microscopes HS Hi-R NEO 900 (Ref no. 657 820) and HS Hi-R NEO 900A (Ref no. 657 821), with software REF 615 588 versions 2.0 to 3.3 - Product Usage: use in ophthalmology and in other disciplines with vertical direction of view
Recall
- Recall Number
- Z-0697-2021
- Event Number
- 86707
- Firm
- Haag-Streit USA Inc
- FEI Number
- 1000136533
- Product Code
- HRM
- Status
- Open, Classified
- Root Cause
- Software design
- Initiated
- November 20, 2020
- Address
- 3535 Kings Mills Rd, Mason, OH, 45040-2303
Description
Haag Streit Surgical Floor stands FS 2-11 (Ref no. 615H511) and FS 2-15 (Ref no. 615H515) in combination with the operating microscopes HS Hi-R NEO 900 (Ref no. 657 820) and HS Hi-R NEO 900A (Ref no. 657 821), with software REF 615 588 versions 2.0 to 3.3 - Product Usage: use in ophthalmology and in other disciplines with vertical direction of view
Software error -Software REF 615 588 versions 2.0 to 3.3, movement of the focusing is triggered by pressing the button of the footswitch it might occur that the movement does not stop when releasing the button, result in potential risk to the patient's eye
Haag-Streit USA, Inc. notified accounts by Urgent Medical Device Correction letter via UPS on 11/20 and delivered 11/24, stating reason for recall, health risk, and action to take: Since the error only occurs when using the optional microscope accessory EIBOS 2, we recommend the following action: 1. Operate the focusing only as described in the instructions for use 668 600 part 5.4 when the fundus observation module EIBOS 2 is swiveled in (see following extract from the above-mentioned Instructions for Use). 5.4 During Surgery Surgery starts at the anterior segment of the eye. The operating microscope is focused on the cornea or the iris. The EIBOS 2 is folded upwards. " Fold the EIBOS 2 down to observe the posterior segment of the eye. " Focus the EIBOS 2 exclusively via its operating elements for focusing. Do not use the focusing of the operating microscope. " Use the foot switch to position the EIBOS 2 by means of the XV-coupling over the patient's eye. " Fold the EIBOS 2 up to observe the anterior segment of the eye 2. If the error occurs, press the focus button on the footswitch again. By pressing once more, the software error is corrected and the focusing works normally again. It is not possible for the error to occur twice in a row. Attention: After 10 seconds of focusing, during which the microscope moves in the direction of the patient's eye, the EIBOS 2 spring suspension to protect the eye is at the end position and the EIBOS 2 is pressed into the eye. 3. Perform a software update of the floor stand. You will receive the software version 3.4 through your local Haag-Streit USA representative who will fix the error. 4. Please send us the enclosed Acknowledgement Letter filled in as soon as the software update is complete. Transmission of the information Please ensure that all users of the products mentioned are aware of and receive this urgent safety information. If you have passed the products to third parties, please forward them a c
US Nationwide distribution in the state of OK.
3 units US