inforMED
MalfunctionFSR

DUO HEADLIGHT 2 BAY SYSTEM - US

Received Jun 1, 2024

Report 3006697299-2024-00071 · MDR key 19443235

Device

Generic name

Pfm05

Catalog number

90620US

Product problems

  • Overheating of Device
  • Optical Problem
  • Overheating of Device
  • Optical Problem

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

E1/FULL NAME OF THE REPORTING FACILITY: (B)(6) MEDICAL CENTER. THE DUO HEADLIGHT 2 BAY SYSTEM - US (90620US) WAS RETURNED FOR EVALUATION:   FAILURE ANALYSIS - THE DUO HEADLIGHT WAS RECEIVED IN USED CONDITION. EVALUATION IDENTIFIED THAT THE HEADLIGHT HAD LOOSE DEBRIS INSIDE THE LUMINAIRE LEADING TO THE LIGHT TESTS FAILURE. IN ADDITION, THE SNORKEL EDGE AND THE POWER CORD CONNECTOR RUBBER COVER WERE DETACHED.   ROOT CAUSE ANALYSIS - THE REPORTED COMPLAINT WAS CONFIRMED. THE ISSUE OF THIS DUO HEADLIGHT OVERHEATING AND FLICKERING IS MOST LIKELY DUE TO ROUGH HANDLING/ENVIRONMENTAL DAMAGE. NO MANUFACTURING, WORKMANSHIP, OR MATERIAL DEFICIENCY HAS BEEN IDENTIFIED.

Description of Event or Problem

A FACILITY REPORTED THAT AFTER 20 MINUTES OF USE, THE DUO HEADLIGHT 2 BAY SYSTEM - US (90620US) STARTED TO OVERHEAT AND THE BEAM BEGAN TO FLICKER. THERE WAS NO PATIENT INVOLVEMENT; THUS, NO PATIENT INJURY, DEATH OR SURGICAL DELAY WAS REPORTED.