MalfunctionHBI
STORZ FIBEROPTIC LIGHT PIPE
Received Oct 23, 1996 · Event occurred Sep 4, 1996
Report 1920664-1996-00759 · MDR key 44768
Device
Generic name
Ophthalmic Light Pipe
Manufacturer
Storz Instrument CoModel number
NACatalog number
MVS1011A
Lot number
607122
Product problems
- Thermal Decomposition of Device
- Melted
Patient
NO INFO
- No Consequences Or Impact To Patient
Narrative
Description of Event or Problem
DURING AN OPHTHALMIC PROCEDURE, WHEN THE LIGHT PIPE WAS CONNECTED TO THE UNIT, THE PROXIMAL END BURNED IN THE MACHINE SOCKET. THE LIGHT PIPE WAS EXCHANGED AND THE PROXIMAL CONNECTOR WAS CLEARLY DISCOLORED AND PARTIALLY MELTED. ANOTHER LIGHT PIPE WAS USED FOR THE PROCEDURE. THERE WAS NO SIGNIFICANT DELAY IN THE PROCEDURE OR EFFECT ON THE PT.