EIKON LIGHT WITH PHOTONGLIDE NARROW/FLAT ADAPTER

Description of Event or Problem

SURGEON WAS USING EIKON LIGHT WITH PHOTONGLIDE NARROW/FLAT ADAPTER PIECE. AFTER TURNING THE LIGHT SOURCE ON DURING SURGERY, THE ADAPTER PIECE MALFUNCTIONED AND BURNED THE SURGEON'S HAND. THE SURGEON DE-GOWNED AND REMOVED HIS GLOVES BUT DECLINED ANY FURTHER MEDICAL ASSISTANCE FOR THE BURN. IT WAS DEEMED APPROPRIATE TO REPLACE THE AFOREMENTIONED LIGHT ADAPTER. THE SURGEON SCRUBBED BACK INTO THE CASE, AS STERILITY WAS MAINTAINED THROUGHOUT THE INCIDENT. THE MALFUNCTIONING PIECE WAS EXAMINED BY THE CIRCULATOR AND CERTIFIED SURGICAL TECHNOLOGIST (CST), THEN GIVEN TO THE CIRCULATOR'S CLINICAL MANAGER FOR FURTHER INVESTIGATION/FOLLOW UP WITH THE MANUFACTURER.