inforMED
MalfunctionHJH

MAGNIFYING LPE 2.5X RED L 14IN TO 17IN WRKG DIST

Received Sep 26, 2019 · Event occurred Sep 16, 2019

Report 2523190-2019-00116 · MDR key 9126966

Device

Generic name

M5 - General Surgery

Catalog number

1-5002

Product problems

  • Break
  • Break

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

THE DEVICE WAS NOT RETURNED TO THE MANUFACTURER FOR ANALYSIS. THE PLANT INVESTIGATION IS IN PROGRESS AND A SUPPLEMENTAL MEDWATCH REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem

A CUSTOMER REPORTED THAT ON (B)(6) 2019, THE 1-5002 MAGNIFYING LPE 2.5X RED L 14IN TO 17IN WRKG DIST WAS BROKEN. THERE WAS NO PATIENT CONTACT, INJURY OR SURGICAL DELAY REPORTED.

Additional Manufacturer Narrative

UDI INFORMATION: (B)(4). THE RETURNED GLASSES WERE RETURNED SHOWING WEAR AND ONE OF THE ARMS WAS BROKEN OFF. THE LOUPES WERE INTACT. THE COMPLAINT REPORT HAS BEEN CONFIRMED; DAMAGED WORN. THE ROOT CAUSE HAS NOT BEEN IDENTIFIED AS A WORKMANSHIP OR MATERIAL DEFICIENCY.