inforMED
MalfunctionFSZ

PHOTONGUIDE, WIDE/FLAT

Received Dec 6, 2024 · Event occurred Jul 1, 2023

Report 0002936485-2024-00924 · MDR key 20868282

Device

Generic name

Light, Surgical, Carrier

Catalog number

104015

Lot number

22264W

Product problems

  • Melted
  • Overheating of Device
  • Melted
  • Overheating of Device

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

THIS COMPLAINT INVESTIGATION WAS CLOSED BASED ON THE DEVICE NOT RECEIVED, THEREFORE THE REPORTED FAILURE MODE WAS NOT CONFIRMED. IN THE EVENT THAT THE DEVICE IS RECEIVED, THE COMPLAINT WILL BE REOPENED AND THE INVESTIGATION WILL BE UPDATED WITH NEW RESULTS. ALLEGED FAILURE: PIECE MELTED DURING SURGERY. PROBABLE ROOT CAUSE: -INGRESS OF BLOOD IN PHOTONGUIDE ADAPT CAUSES OPTICAL FIBERS TO MELT -INADEQUATE OPTICAL DESIGN OR MATERIAL -INADEQUATE SURFACE QUALITY -WAVEGUIDE FACE IS OBSTRUCTED BY BLOOD, TISSUE, OR OTHER MATERIAL -USE ERROR OF CONNECTING INAPPROPRIATE LIGHT SOURCE OR USING INAPPROPRIATE LIGHT SOURCE SETTINGS -USE ERROR OF USING WAVEGUIDE WITHOUT A RETRACTOR -USE ERROR OF LEAVING DEVICE UNATTENDED WHILE ILLUMINATED. THE REPORTED FAILURE MODE WILL BE MONITORED FOR FUTURE REOCCURRENCE.

Description of Event or Problem

IT WAS REPORTED THAT THE PRODUCT MELTED.

Additional Manufacturer Narrative

ADDITIONAL INFORMATION WILL BE PROVIDED ONCE THE INVESTIGATION HAS BEEN COMPLETED. THE DEVICE MANUFACTURER DATE IS NOT KNOWN AT THIS TIME. HOWEVER, SHOULD IT BECOME AVAILABLE IT WILL BE PROVIDED IN FUTURE REPORTS.

Description of Event or Problem

IT WAS REPORTED THAT THE PRODUCT MELTED.