5.0MM X 10FT CLEAR CASE FIBEROPTIC LIGHT CABLE 0233050069

MAUDE Adverse Event Report

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.

Event Text Entries

[4829787] 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


[12189291] The device was returned to stryker for investigation, but the customer complaint of? Overheating? Was not confirmed. The failure mode was due to a defective x8000 lightsource not the light cable. Visual inspection revealed long usage discoloration of the outer sheath and a functional inspection revealed the cable when illuminated had excessive broken fibers. As previously stated the root cause was a defective x8000 light source. The product was returned for investigation, but the reported failure mode was not confirmed. The failure mode will be monitored for future reoccurrence.
Patient Sequence No: 1, Text Type: N, H10


[20857783] 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


[21279273] Additional information will be provided once the investigation has been completed.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number0002936485-2013-00547
MDR Report Key3496093
Report Source05
Date Received2013-12-03
Date of Report2013-11-06
Date of Event2013-10-30
Date Mfgr Received2013-11-06
Date Added to Maude2013-12-03
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMR. THOMAS SHAFER
Manufacturer Street5900 OPTICAL COURT
Manufacturer CitySAN JOSE CA 95138
Manufacturer CountryUS
Manufacturer Postal95138
Manufacturer Phone4087542000
Manufacturer G1STRYKER ENDOSCOPY-SAN JOSE
Manufacturer Street5900 OPTICAL COURT
Manufacturer CitySAN JOSE CA 95138
Manufacturer CountryUS
Manufacturer Postal Code95138
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name5.0MM X 10FT CLEAR CASE FIBEROPTIC LIGHT CABLE
Generic NameLIGHT, SURGICAL, FLOOR STANDING
Product CodeFSS
Date Received2013-12-03
Returned To Mfg2014-01-03
Catalog Number0233050069
Lot Number335U
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER ENDOSCOPY-SAN JOSE
Manufacturer Address5900 OPTICAL COURT SAN JOSE CA 95138 US 95138


Patients

Patient NumberTreatmentOutcomeDate
10 2013-12-03

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