MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2013-12-03 for 5.0MM X 10FT CLEAR CASE FIBEROPTIC LIGHT CABLE 0233050069 manufactured by Stryker Endoscopy-san Jose.
[4007791]
It was reported that during a surgery the lightsource with a used fiberoptic cable overheated and burned the patient's leg. Furthermore, the sterile area was damaged due to burns. A second surgery was conducted with another cable and the same issue occurred.
Patient Sequence No: 1, Text Type: D, B5
[11298717]
Additional information will be provided once the investigation has been completed.
Patient Sequence No: 1, Text Type: N, H10
[18064385]
It was reported that during a surgery, the lightsource with a used fiberoptic cable overheated and burned the patient's leg. Furthermore, the sterile area was damaged due to burns. A second surgery was conducted with another cable and the same issue occurred.
Patient Sequence No: 1, Text Type: D, B5
[18537539]
The fiber optic light cable catalog# 0233050069 lot # 081628 was returned, but the customer complaint of? Overheating? Was not confirmed. Visual inspection: no obvious defects to the product functional inspection: the cable when illuminated; exhibited excessive broken fibers. Root cause: defective x8000 light source. Additional finding: excessive broken light fibers due to long usage material breakdown. In sum, the unit was returned, but the failure mode was not confirmed.
Patient Sequence No: 1, Text Type: N, H10
Report Number | 0002936485-2013-00548 |
MDR Report Key | 3496092 |
Report Source | 05 |
Date Received | 2013-12-03 |
Date of Report | 2013-11-06 |
Date of Event | 2013-10-30 |
Date Mfgr Received | 2013-11-06 |
Date Added to Maude | 2013-12-03 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Manufacturer Contact | MR. THOMAS SHAFER |
Manufacturer Street | 5900 OPTICAL COURT |
Manufacturer City | SAN JOSE CA 95138 |
Manufacturer Country | US |
Manufacturer Postal | 95138 |
Manufacturer Phone | 4087542000 |
Manufacturer G1 | STRYKER ENDOSCOPY-SAN JOSE |
Manufacturer Street | 5900 OPTICAL COURT |
Manufacturer City | SAN JOSE CA 95138 |
Manufacturer Country | US |
Manufacturer Postal Code | 95138 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | 5.0MM X 10FT CLEAR CASE FIBEROPTIC LIGHT CABLE |
Generic Name | LIGHT, SURGICAL, FLOOR STANDING |
Product Code | FSS |
Date Received | 2013-12-03 |
Catalog Number | 0233050069 |
Lot Number | 081628 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | STRYKER ENDOSCOPY-SAN JOSE |
Manufacturer Address | 5900 OPTICAL COURT SAN JOSE CA 95138 US 95138 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2013-12-03 |