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MalfunctionKZF

GS-300 GEN EXAM LT W/TABLE/WALL MT DOM

Received Sep 14, 2022 · Event occurred Aug 25, 2022

Report 3006087789-2022-00001 · MDR key 15418272

Device

Generic name

Device, Medical Examination, Ac Powered

Manufacturer

Hill-rom Mexico

Model number

44410

Lot number

(10)1647

Product problems

  • Fire
  • Fire

Patient

Unknown

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

Narrative

Description of Event or Problem

THE CUSTOMER REPORTED THAT THE BASE OF THE GS300 CAUGHT FIRE NEAR THE PLUG WHICH THEN CAUSED THE GOOSENECK OF THE LIGHT TO POP OUT OF THE BASE. THERE WERE NO INJURIES CAUSED BY THE REPORTED EVENT. THIS COMPLAINT WAS CAPTURED UNDER HILLROM REF # (B)(4).

Additional Manufacturer Narrative

THE WELCH ALLYN GS 300 IS AN EXAM LIGHT, DESIGNED TO MEET THE VARIOUS NEEDS OF THE PHYSICIAN¿S OFFICE, HOSPITAL ENVIRONMENT AND SPECIALIST¿S OFFICE. IT IS NOT INTENDED FOR RENDERING DIAGNOSIS OR SURGERY. THE GS 300 LIGHT IS MOUNTED ON A MOBILE STAND OR TABLE/WALL MOUNT. TO PREVENT INJURY FROM EXPOSED WIRES AND DAMAGED HOUSING, THERE ARE WARNINGS IN THE DFU INCLUDING: INSPECT THE DEVICE FOR WEAR, FRAYING, OR OTHER DAMAGE. DO NOT USE IF YOU SEE SIGNS OF DAMAGE, IF THE INSTRUMENT MALFUNCTIONS, APPEARS NOT TO BE WORKING PROPERLY, OR IF YOU NOTICE A CHANGE IN PERFORMANCE. IF A DEVICE WERE TO GET HOT TO TOUCH, SPARK, HAVE BURN MARKS OR BURNED COMPONENTS A TRAINED CLINICIAN WOULD NOT USE THE DEVICE AND REMOVE IT FROM THE PATIENT'S ENVIRONMENT. THE CUSTOMER HAS NOT RETURNED THE DEVICE, THEREFORE, NO FURTHER INVESTIGATION INTO THE ROOT CAUSE OF THE REPORTED ISSUE COULD BE PERFORMED. BASED ON THE PICTURE PROVIDED THIS EVENT HAS BEEN LIKELY CAUSED BY A SHORT CIRCUIT INSIDE THE CONTROL BOX ASSEMBLY. ALTHOUGH THE REPORTED EVENT DID NOT RESULT IN A SERIOUS INJURY TO THE CUSTOMER OR THE PATIENTS, A REPORT OF A FIRE IN A CLINICAL ENVIRONMENT COULD CAUSE A SERIOUS INJURY IF IT HAD TO RECUR. THEREFORE, HILLROM CONSIDER THIS EVENT REPORTABLE. BASED ON THE INFORMATION PROVIDED AT THIS TIME NO FURTHER ACTION IS REQUIRED.