inforMED
MalfunctionLQJ

HGM

Received Oct 16, 2001 · Event occurred Sep 19, 2001

Report 1720381-2001-00007 · MDR key 357031

Device

Generic name

Shutter

Manufacturer

Fisma

Model number

K10-A-K03-1-87

Catalog number

WILD THIN SHUTTER

Lot number

NA

Product problems

  • Intraprocedure, fire or flash during

Patient

*

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

CUSTOMER REPORTED THE DOCTOR RECEIVED A FLASHBACK OF LASER LIGHT AFTER GOING THROUGH THE STANDARD SAFETY PROTOCOL. THE EVENT HAPPENED TWICE. THERE WAS NO HARM TO THE PATIENT. THE DOCTOR WAS NOT INJURED AND FINISHED THE PROCEDURE WITHOUT USING THE LASER.

Remedial action

  • Repair