OPMI PICO ON S100 FLOOR STAND
Received Aug 2, 2016 · Event occurred Jun 23, 2016
Report 9615010-2016-00012 · MDR key 5842182
Device
Generic name
Microscope, Surgical General&plastic
Manufacturer
Carl Zeiss Meditec Ag (oberkochen)Model number
NACatalog number
000000-1095-102
Lot number
NA
Product problems
- Fluid/Blood Leak
- Failure To Service
- Fluid/Blood Leak
- Failure To Service
Patient
21 YR
- Abrasion
- Abrasion
Narrative
Additional Manufacturer Narrative
NARRATIVE: ZEISS RECORDS INDICATE THAT THERE IS NO SERVICE CONTRACT OR SERVICE HISTORY FOR THE MICROSCOPE IN QUESTION. THE HCP CONFIRMED THAT THE LAST SERVICE WAS DONE MORE THAN 7 YEARS AGO. A FIELD SERVICE ENGINEER PERFORMED AN ON-SITE INSPECTION OF THE MICROSCOPE AND FOUND THAT THE PNEUMATIC SPRING WAS LEAKING AND DID NOT HOLD POSITION. THE USER MANUAL G-30-1385-EN, ISSUE 5.0, PRINTED ON 14. 05. 2001, ADVISES ON SEVERAL PAGES TO CONTACT SERVICE, IF A FUNCTION OF THE MICROSCOPE FAILS, E.G. PAGE 16, 38, 42. THE USER MANUAL INFORMS ABOUT A REGULAR MAINTENANCE INTERVAL OF EVERY 24 MONTHS FOR THE SUSPENSION SYSTEM. THE MANUFACTURER'S CONCLUSION IS THAT NORMAL USE AND NORMAL MAINTENANCE AND REPAIR FOLLOWING ZEISS PROCEDURES COULD NOT LEAD TO THE OCCURRED SCOPE ARM DROP. THE USER MANUAL ADVISES ON PAGE 103 TO PERFORM A DETAILED FUNCTION CHECK BEFORE SURGERY AND WITHOUT PATIENT PRESENT. THIS CONTAINS UNDER TITLE "SETTING THE SUSPENSION ARM WEIGHT COMPENSATION" ALSO THE PROPER BALANCING OF THE MICROSCOPE.
Description of Event or Problem
THE HEALTHCARE PROFESSIONAL (HCP) REPORTED THE OPMI PICO MICROSCOPE ARM WAS IN THE UPPER STANDBY POSITION WHEN DROPPING SUDDENLY ABOUT TWO FEET. THE SCOPE HEAD HIT THE PATIENT ABOVE THE LEFT EYEBROW. THE HCP DESCRIBED THE RESULTING ABRASION AS "SUPERFICIAL" AND CONFIRMED THAT NO MEDICAL INTERVENTION WAS NEEDED. THE SCOPE WAS USED FOR ROUTINE EXAMINATION OF PATIENT'S EARS. THE EXAMINATION WAS COMPLETED SUCCESSFULLY.
Remedial action
- Repair