inforMED
MalfunctionFCR

AUTO-IRIS FIBER LIGHT PROJECTOR

Received May 22, 1997 · Event occurred Mar 21, 1997

Report 1418479-1997-00024 · MDR key 93570

Device

Generic name

Fiber Light Projector

Model number

5119.00

Catalog number

5119.00

Lot number

NA

Product problems

  • Detachment Of Device Component
  • Lead(s), burn(s) from
  • Use of Device Problem

Patient

28 YR

  • Burn(s)

Narrative

Description of Event or Problem

A SURGICAL PROCEDURE WAS BEING DONE USING A FIBER LIGHT RETRACTOR,M LIGHT CABLE AND LIGHT SOURCE. THE CONNECTION BETWEEN THE RETRACTOR AND THE CABLE WAS HOT ENOUGH TO CAUSE A MINOR SKIN BURN WHEN THE TWO WERE DISCONNECTED. THE BURN WAS TREATED WITH OINTMENT AND AN ADHESIVE BANDAGE STRIP. THE USER AS AWARE THAT FIBER LIGHT SOURCE GENERATOR HAS OPERATING INSTRUCTIONS THAT INDICATE THAT LIGHT CONNECTORS CAN GET HOT ENOUGH TO CAUSE BURNS AND CARE MUST BE TAKEN DURING USE.