inforMED
MalfunctionFSO

OPMI PENTERO

Received Jan 9, 2020 · Event occurred Nov 1, 2019

Report 9615010-2020-00001 · MDR key 9571284

Device

Generic name

Microscope, Surgical, General & Plastic Surgery

Model number

N/A

Catalog number

000000-0480-801

Lot number

N/A

Product problems

  • Vibration
  • Vibration

Patient

Not reported

  • No Information
  • No Information

Narrative

Additional Manufacturer Narrative

CZMI BECAME AWARE OF THE EVENT THROUGH A MANDATORY AND VOLUNTARY REPORT FORM (#(B)(4)) SUBMITTED BY THE SITE'S PATIENT SAFETY COORDINATOR. CZMI MADE FOUR ATTEMPTS TO GATHER ADDITIONAL DETAILS REGARDING THE PATIENT OUTCOME FROM THE PATIENT SAFETY COORDINATOR. A RESPONSE TO THE INQUIRIES HAS NOT BEEN RECEIVED. A REQUEST FOR A DEVICE INSPECTION WAS ALSO DECLINED BY THE SITE'S BIOMEDICAL ENGINEER.

Description of Event or Problem

A HEALTHCARE PROFESSIONAL (HCP) SUBMITTED A MANDATORY AND VOLUNTARY REPORT FORM (# (B)(4)) TO THE FDA. ACCORDING TO THE REPORT, DURING A PROCEDURE IN THE OPERATING ROOM IT WAS NOTED THAT THE VIEW THROUGH THE MICROSCOPE WAS VIBRATING UNCONTROLLABLY. ALSO ACCORDING TO THE REPORT, THE SURGEON EXPERIENCED HEADACHES AND NAUSEA DUE TO THE INSTABILITY OF THE MICROSCOPE VIEW AND DECIDED TO ABORT THE CASE DUE TO SAFETY CONCERNS FOR THE PATIENT. THE FINAL OUTCOME OF THE PATIENT IS NOT KNOWN TO CARL ZEISS MEDITEC, INC.(CZMI).