inforMED
MalfunctionFSW

L300 SURGICAL ILLUMINATOR

Received Aug 28, 2012

Report 1222895-2012-00025 · MDR key 2719410

Device

Generic name

Cogent 270 Surgical Illuminator

Catalog number

90123

Product problems

  • Break
  • Burst Container or Vessel
  • Smoking

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

CUSTOMER INITIALLY REPORTS THE UNIT WAS INVOLVED IN AN INCIDENT. THE LAMP LITERALLY EXPLODED TAKING OUT THE REFLECTORS. SOME PARTS WERE REPLACED BY BIOMEDICAL DEPARTMENT IN AN ATTEMPT TO REPAIR THE UNIT. ON (B)(4) 2012, BIOMEDICAL DEPT AND SURGICAL EQUIPMENT TECH REPORT NO REAL "EXPLOSION", THE DEVICE SMOKED AND THE DEVICE LAMP AND BOTH REFLECTORS WERE SIGNIFICANTLY DAMAGED. THIS OCCURRED DURING "BACK" SURGERY AND THERE WAS NO HARM TO PT OR STAFF. DEVICE WAS QUICKLY REPLACED AND THERE WAS NO REAL DOWNTIME.

Additional Manufacturer Narrative

TO DATE THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVAL. AN INVESTIGATION HAS BEEN INITIATED BASED ON THE REPORTED INFO.