GS 777 WALL TRANSFORMER
Received Jul 18, 2023 · Event occurred Jul 11, 2023
Report 1316463-2023-00163 · MDR key 17346498
Device
Generic name
Stand, Instrument, Ac-powered, Ophthalmic
Manufacturer
Welch Allyn, Inc.Model number
77710-71MProduct problems
- Fire
- Fire
Patient
Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
THE GS 777 WALL TRANSFORMER IS INTENDED TO PROVIDE POWER TO WELCH ALLYN 3.5V INSTRUMENTS. THE DEVICE POWERS TWO INSTRUMENT HANDLES, ONTO WHICH WELCH ALLYN 3.5V DIAGNOSTIC INSTRUMENT HEADS CAN BE ATTACHED. THESE DIAGNOSTIC INSTRUMENT HEADS INCLUDE THE WELCH ALLYN OTOSCOPE, OPTHALMOSCOPE AND EPISCOPE. THE WALL TRANSFORMER CAN BE USED ALONE, OR AS PART OF THE GS 777 INTEGRATED WALL SYSTEM (IWS), WHICH INCORPORATES OTHER WELCH ALLYN DEVICES, SUCH AS THE SURETEMP THERMOMETER, SPOT VITAL SIGNS MONITOR AND THE PROBP 3400 AND THE ANEROID BLOOD PRESSURE GAUGE. THE POWER CORD WAS NOT RETURNED FOR INVESTIGATION AND THEREFORE A ROOT CAUSE OF THE FAILURE OF THE POWER CORD COULD NOT BE CONFIRMED. THERE WAS NO PATIENT IMPACT OR INJURY REPORTED HOWEVER AS THE ROOT CAUSE OF THE POWER CORD FAILURE COULD NOT BE CONFIRMED HILLROM IS CAUTIOUSLY REPORTING THIS EVENT.
Description of Event or Problem
CUSTOMER REPORTED PHYSICAL DAMAGE. THE GS 777 TRANSFORMER POWER CORD CAUGHT ON FIRE. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT #: (B)(4).