inforMED
MalfunctionGCT

LIGHT SOURCE "CLV-S30", 300 W, XENON, 230 V

Received Jun 15, 2026 · Event occurred Jun 19, 2025

Report 3002808148-2026-20323 · MDR key 25501494

Device

Generic name

Xenon Light Source

Model number

A9697

Product problems

  • Activation Problem

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE DEVICE WAS RETURNED TO OLYMPUS FOR INSPECTION. A ROOT CAUSE COULD NOT BE IDENTIFIED. BASED ON THE RESULTS OF THE INVESTIGATION, IT IS LIKELY THE FOLLOWING LED TO THE MALFUNCTION: BULB DOES NOT WORK. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE.

Description of Event or Problem

THE CUSTOMER RETURNED THE XENON LIGHT SOURCE TO THE SERVICE CENTER FOR A SEPARATE ISSUE. DURING THE DEVICE ANALYSIS THE BULB DOES NOT WORK WAS FOUND. IT WAS DETERMINED THAT THE BULB NEEDED TO BE REPLACED. THERE WAS NO PATIENT INVOLVEMENT.