SYSTEM ILLUMINATE VAGINAL SPECULUM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1993-04-05 for SYSTEM ILLUMINATE VAGINAL SPECULUM manufactured by Welch Allan.

Event Text Entries

[3020] Md using speculum in place for about an hour due to extensive bleeding. Md used different methods to reduce and end bleeding and needed speculum in place for frequent exams and visualization. The patient reported feeling a warm spot "like a finger on a stove". The exam showed a reddened area without blistering in the vagina. Md aware. Speculum pulled from service for evaluation without failure. Tested within speculations. The hulb will get warm with extended time on; but was tested up to 4 hours on. Due to bleeding this may have magnified the degree of warmth but was warrentted due to patient's bleeding statusdevice not labeled for single use. Patient medical status prior to event: fair condition. There was not multiple patient involvement. Invalid data - on device service/maintenance. No data - regarding date last serviced. Service provided by: invalid data. Invalid data - service records availability. No imminent hazard to public health claimed. Device used as labeled/intended. Device was evaluated after the event. Method of evaluation: electrical tests performed, mechanical tests performed, visual examination. Results of evaluation: none or unknown, other, other. Conclusion: device evaluated and alleged failure could not be duplicated, no failure detected and product within specification. Certainty of device as cause of or contributor to event: yes. Corrective actions: device temporarily removed from service, inserviced by biomedical engineering dept. Staff. Invalid data - on device destroyed/disposed of status.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number5600
MDR Report Key5600
Date Received1993-04-05
Date of Event1993-03-05
Date Facility Aware1993-03-05
Date Reported to Mfgr1993-03-12
Date Added to Maude1993-07-16
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSYSTEM ILLUMINATE VAGINAL SPECULUM
Generic NameLIGHTED SPECULUM
Product CodeFXF
Date Received1993-04-05
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityY
Device Age01-JUN-91
Implant FlagN
Device Sequence No1
Device Event Key5299
ManufacturerWELCH ALLAN


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1993-04-05

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