inforMED
MalfunctionFSZ

PHOTONGUIDE, WIDE/FLAT

Received May 30, 2019 · Event occurred Apr 29, 2019

Report 0001811755-2019-01854 · MDR key 8655906

Device

Generic name

Light, Surgical, Carrier

Catalog number

104015

Lot number

AB19011701

Product problems

  • Break
  • Break

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

IT WAS REPORTED THAT DURING A SURGICAL PROCEDURE AT THE USER FACILITY, THE PHOTONBUIDE BROKE IN HALF. THE PROCEDURE WAS COMPLETED SUCCESSFULLY WITHOUT A CLINICALLY SIGNIFICANT DELAY, ADVERSE CONSEQUENCES, OR MEDICAL INTERVENTION.

Description of Event or Problem

IT WAS REPORTED THAT DURING A SURGICAL PROCEDURE AT THE USER FACILITY, THE PHOTONBUIDE BROKE IN HALF. THE PROCEDURE WAS COMPLETED SUCCESSFULLY WITHOUT A CLINICALLY SIGNIFICANT DELAY, ADVERSE CONSEQUENCES, OR MEDICAL INTERVENTION.

Additional Manufacturer Narrative

CORRECTION: D10; H3 ADDITIONAL INFORMATION: H6 H3 OTHER TEXT : NOT RETURNED.