inforMED
MalfunctionFSY

CHROMOPHARE OR LIGHT CEILING-MOUNTED

Received Jun 30, 2021 · Event occurred Jun 11, 2021

Report 0008010153-2021-00004 · MDR key 12092156

Device

Generic name

Light, Surgical, Ceiling Mounted

Model number

CH00000001

Catalog number

CH00000001

Product problems

  • Material Separation
  • Material Separation

Patient

Not reported

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

IT WAS REPORTED THAT THE COVER SEPARATED FROM AN F GENERATION LIGHT. THE LIGHT HEAD REPORTED IS WITHIN THE SCOPE OF (B)(4) AND WILL BE HANDLED ACCORDINGLY. THERE WAS NO PATIENT INVOLVEMENT, NO INJURIES, NO ADVERSE CONSEQUENCES OR DELAY. PER (B)(4), THE SEVERITY IS S0.

Description of Event or Problem

IT WAS REPORTED THE LIGHT HEAD DOME COVERS IN CVOR W HAS POPPED OFF AND NEEDS TO BE REPLACED. IT WAS FURTHER REPORTED THE CORRECT LOCATION WAS CVOR X. THERE WERE NO REPORTED INJURIES OR ADVERSE CONSEQUENCES.