LIGHTMAT

Description of Event or Problem

PT IN THE OPERATING ROOM FOR BILATERAL MASTECTOMY AND RECONSTRUCTION. THE LIGHTMAT, SURGICAL ILLUMINATOR, WAS USED THROUGH OUT THE PROCEDURE. DURING THE PROCEDURE, THE LIGHT CORD SAME IN CONTACT WITH PT CAUSING 3 DIFFERENT BURNS. THE LIGHTMAT AS USES WITH THE RECOMMENDED LIGHT CORD FROM LUMITEX AND A STRYKER X8000 LIGHT SOURCE AT 100%. IT WAS NOTED THAT THE METAL CONNECTION PIECE BETWEEN THE LIGHTMAT AND THE LIGHT CORD BECAME VERY HOT.