inforMED
InjuryILY

CHATTANOOGA APPLICATOR 9CLS 5X200MW 1040MW

Received Jul 9, 2019 · Event occurred Jun 12, 2019

Report 3012446970-2019-00019 · MDR key 8772707

Device

Generic name

Lamp, Infrared, Therapeutic Heating

Manufacturer

Djo, Llc

Model number

27812

Product problems

  • Temperature Problem
  • Temperature Problem

Patient

Not reported

  • Partial thickness (Second Degree) Burn
  • Partial thickness (Second Degree) Burn

Narrative

Additional Manufacturer Narrative

ONE LASER APPLICATOR (PART NUMBER 27812, SERIAL NUMBER (B)(4)) WAS RETURNED ALONG WITH VECTRA GENISYS BASE UNIT (PART NUMBER 2784, SERIAL NUMBER (B)(4)). NO FAULT WAS FOUND WITH THE BASE UNIT; THE PRODUCT MET SPECIFICATIONS AND DID NOT MALFUNCTION. THE LASER APPLICATOR WAS OBSERVED TO HAVE A DIRTY / SCRATCHED LENS, THE LASER PRINTED HANDLE WAS NOT FLUSH, AND THE CALIBRATION STICKER WAS NOT FROM DJO. FUNCTIONAL TEST YIELDED AN ERROR 201: LASER OUTPUT TOO HIGH. THIS FOLLOWED WITH CHECKS YIELDING RESULTS OF "FIVE LASERS OK" FOR LASER ONLY TESTS (1190 MW, 1180 MW). NO ISSUES WERE FOUND WHEN OPENING THE HEAD AND BOTTOM CABLE TO CHECK FOR ALTERATIONS AND DAMAGED WIRES. THE LASER APPLICATOR HAS BEEN IN THE FIELD FOR 5+ YEARS WITH NO ANNUAL CALIBRATION. A DEFINITIVE ROOT CAUSE TO THE REPORTED EVENT CANNOT BE CONCLUSIVELY DETERMINED.

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT "GOT A SENSATION OF BEING BURNED, CAUSED BLISTERS AND IRRITATION ON PATIENT". NO FURTHER INFORMATION WAS PROVIDED.