inforMED
MalfunctionFSZ

MAST QUADRANT RETRACTOR SYSTEM

Received May 22, 2014

Report 1030489-2014-02600 · MDR key 3828056

Device

Generic name

Light, Surgical, Carrier

Model number

NA

Catalog number

9560658

Lot number

UNK

Product problems

  • Unintended Magnet Quench

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

(B)(4). NEITHER THE DEVICE NOR APPLICABLE IMAGING FILMS WERE RETURNED TO THE MANUFACTURER FOR EVALUATION; THEREFORE, THE CAUSE OF THE EVENT CANNOT BE DETERMINED.

Description of Event or Problem

IT WAS REPORTED THAT THE LIGHT SOURCE STARING SMOKING 10 MINUTES INTO A TRANSFORAMINAL LUMBAR INTERBODY FUSION (TLIF) CASE. THERE WERE NO PATIENT COMPLICATIONS REPORTED.