inforMED
MalfunctionFSR

DUO LITHIUM ION BATTERIES - QUANTITY TWO

Received Feb 10, 2025

Report 3006697299-2025-00017 · MDR key 21349227

Device

Generic name

Pfm05

Catalog number

90622

Lot number

1849

Product problems

  • Premature Discharge of Battery
  • Battery Problem
  • Premature Discharge of Battery
  • Battery Problem

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

THE DUO LITHIUM-ION BATTERIES - QUANTITY TWO (90622) WAS NOT RETURNED TO THE MANUFACTURER; THEREFORE, AN EVALUATION OF THE DEVICE COULD NOT BE PERFORMED. BASED ON THE REPORTED COMPLAINT, THE PROBABLE ROOT CAUSE FOR THIS DUO LITHIUM ION BATTERY BEING DEFECTIVE COULD BE DUE TO A MALFUNCTIONING BATTERY CHARGER. HOWEVER, A DEFINITE ROOT CAUSE CANNOT BE IDENTIFIED AT THIS TIME. IF ADDITIONAL RELEVANT INFORMATION BECOMES AVAILABLE IN THE FUTURE, THIS COMPLAINT WILL BE REOPENED, AND THE RESPECTIVE EVALUATION PERFORMED. TRENDS WILL BE MONITORED FOR THIS AND SIMILAR ISSUES. AT PRESENT, WE CONSIDER THIS COMPLAINT TO BE CLOSED.

Description of Event or Problem

N/A.

Additional Manufacturer Narrative

AN INVESTIGATION HAS BEEN INITIATED BASED ON THE REPORTED INFORMATION. UPON COMPLETION OF THE INVESTIGATION, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem

A FACILITY REPORTED THAT THE DUO LITHIUM-ION BATTERIES - QUANTITY TWO (90622) DOES NOT FULLY CHARGE AND DOES NOT LAST LONG AFTER CHARGING, CAUSING SIGNIFICANT DELAYS IN THE OPERATING ROOM. IT WAS FURTHER REPORTED THAT "DURING SURGERY, THE BATTERIES WOULD RUN OUT QUICKLY AND NOT CHARGE", CAUSING AN INCREASE IN SURGICAL TIME OF MORE THAN 30 MINUTES. ADDITIONALLY, IN SOME CASES STAFF "USED BATTERIES THAT STILL WORKED, IN OTHERS THEY USED THE LIGHT FROM THE OPERATING ROOM LAMP AND OTHER TIMES THEY USED THE CABLE AC DIRECTLY CONNECTED TO THE WALL"; HOWEVER, THE SURGEON WAS DISSATISFIED. IT WAS REPORTED THAT NO PATIENT INJURY OCCURRED.