MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,other report with the FDA on 2017-02-23 for LEICA M525 F50 10448505 manufactured by Leica Microsystems (schweiz) Ag.
[68107881]
An investigation of the incident is currently underway and a follow up will be submitted should additional information become available following the investigation.
Patient Sequence No: 1, Text Type: N, H10
[68107882]
On (b)(6) 2017, leica microsystems received a complaint stating that at the conclusion of an ent surgery using a leica m525 f50 surgical microscope, a patient had a phlyctena (~blister) in front of the tragus of the operated ear.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3003974370-2017-00001 |
| MDR Report Key | 6352447 |
| Report Source | COMPANY REPRESENTATIVE,OTHER |
| Date Received | 2017-02-23 |
| Date of Report | 2017-02-17 |
| Date of Event | 2017-01-17 |
| Date Mfgr Received | 2017-01-17 |
| Device Manufacturer Date | 2016-06-20 |
| Date Added to Maude | 2017-02-23 |
| 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 | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. ROLAND JEHLE |
| Manufacturer Street | MAX SCHMIDHEINY STRASSE 201 |
| Manufacturer City | HEERBRUGG, ST. GALLEN 9435 |
| Manufacturer Country | SZ |
| Manufacturer Postal | 9435 |
| Manufacturer Phone | 717263216 |
| Manufacturer G1 | LEICA INSTRUMENTS (SINGAPORE) PTE LTD |
| Manufacturer Street | 12 TEBAN GARDENS CRESCENT |
| Manufacturer City | SINGAPORE, 608924 |
| Manufacturer Country | SN |
| Manufacturer Postal Code | 608924 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | LEICA M525 F50 |
| Generic Name | SURGICAL MICROSCOPES |
| Product Code | EPT |
| Date Received | 2017-02-23 |
| Model Number | M525 F50 |
| Catalog Number | 10448505 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | LEICA MICROSYSTEMS (SCHWEIZ) AG |
| Manufacturer Address | MAX SCHMIDHEINY STRASSE 201 HEERBRUGG, ST. GALLEN 9435 SZ 9435 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2017-02-23 |