inforMED
MalfunctionLFS

PKG, X8000 LIGHTSOURCE

Received Sep 27, 2006 · Event occurred Sep 1, 2006

Report 2936485-2006-00065 · MDR key 866838

Device

Generic name

Lightsource

Model number

*

Catalog number

0220200000

Lot number

*

Product problems

  • Thermal Decomposition of Device

Patient

YR

  • Unknown (for use when the patient's condition is not known)

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE LIGHTSOURCE WAS USED FOR A FEW MINUTES AND THE LIGHT WENT OUT. THERE WAS A BURNING SMELL.

Additional Manufacturer Narrative

DEVICE HAS NOT BEEN RECEIVED FOR EVALUATION. IF RECEIVED, A FOLLOW-UP REPORT WILL BE SUBMITTED.