BILILUX PHOTOTHERAPY LIGHT
Received Mar 8, 2024 · Event occurred Feb 15, 2024
Report 1220063-2024-00029 · MDR key 18866231
Device
Generic name
Overhead Infant Phototherapy Unit
Manufacturer
Draeger Medical Systems, IncCatalog number
MU20100
Product problems
- Device Tipped Over
- Device Tipped Over
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
A CUSTOMER REPORTED THAT A BILILUX SPRING ARM SLOWLY COLLAPSED ONTO PEDIATRIC PATIENT. NO DEATH WAS REPORTED, AND THE CUSTOMER CONFIRMED THAT THERE WAS NO PATIENT INJURY. IT WAS DETERMINED THAT THE SWING ARM BOLT HAD COME LOOSE OVER TIME AND REQUIRED TIGHTENING.
Additional Manufacturer Narrative
THE INVESTIGATION WAS STARTED; RESULTS WILL BE PROVIDED IN A FOLLOW UP-REPORT.
Description of Event or Problem
A CUSTOMER REPORTED THAT A BILILUX SPRING ARM SLOWLY COLLAPSED ONTO PEDIATRIC PATIENT. NO DEATH WAS REPORTED, AND THE CUSTOMER CONFIRMED THAT THERE WAS NO PATIENT INJURY. IT WAS DETERMINED THAT THE SWING ARM BOLT HAD COME LOOSE OVER TIME AND REQUIRED TIGHTENING.
Additional Manufacturer Narrative
A COMPLAINT WAS RECEIVED INVOLVING A BILILUX THAT SLOWLY DRIFTED DOWNWARD ONTO A PATIENT. IT WAS REPORTED THAT THE SWING ARM DID NOT HOLD IN REQUIRED POSITION AFTER BEING SET. IN THE GENERAL CUSTOMER REPORT ATTACHED TO THIS RECORD, THERE WAS NO REPORT OF AN ADVERSE PATIENT IMPACT. IT WAS REPORTED THAT THE SWING ARM NUT AND BOLT HAD COME LOOSE OVER TIME AND REQUIRED TIGHTENING. SEVERAL ATTEMPTS WERE MADE TO OBTAIN FURTHER INFORMATION INCLUDING WHO REPAIRED THE DEVICE TO RESOLVE THE ISSUE, THE HISTORY OF PREVENTATIVE MAINTENANCE AND IF THE FUNCTIONAL CHECKOUT WAS PERFORMED PRIOR TO USE AS OUTLINED IN THE INSTRUCTIONS FOR USE (IFU). NO FURTHER INFORMATION WAS MADE AVAILABLE THEREFORE, A ROOT CAUSE COULD NOT BE DETERMINED.