ILED 4028310

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-06-21 for ILED 4028310 manufactured by Trumpf Medizin Systeme Gmbh + Co. Kg.

Event Text Entries

[78234011] It is known that improper installation, maintenance or a collision can lead to the spring arm cover falling off. The device was evaluated and repaired by a trumpf medical service technician. The trumpf medical technician identified that the covers were not correctly installed or maintained. No preventative maintenance records were found for this device.
Patient Sequence No: 1, Text Type: N, H10


[78234012] The elbow cover on an ondal spring arm attached to the trumpf medical surgical light came off during a surgery and fell, landing on the floor. No patient injury occurred.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9681407-2017-00024
MDR Report Key6656681
Date Received2017-06-21
Date of Report2017-05-23
Date of Event2017-05-23
Date Mfgr Received2017-05-23
Device Manufacturer Date2012-06-18
Date Added to Maude2017-06-21
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 FDA3
Event Location3
Manufacturer ContactMR. STEFFEN ULBRICH
Manufacturer StreetCARL-ZEISS STRASSE 7-9
Manufacturer CitySAALFELD, SAALE 07318
Manufacturer CountryGM
Manufacturer Postal07318
Manufacturer Phone6715864140
Manufacturer G1TRUMPF MEDIZIN SYSTEME GMBH + CO. KG
Manufacturer StreetCARL-ZEISS STRASSE 7-9
Manufacturer City07318 SAALFELD,
Manufacturer CountryGM
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameILED
Generic NameILED TRIO
Product CodeFQP
Date Received2017-06-21
Model Number4028310
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerTRUMPF MEDIZIN SYSTEME GMBH + CO. KG
Manufacturer AddressCARL-ZEISS STRASSE 7-9 07318 SAALFELD, GM


Patients

Patient NumberTreatmentOutcomeDate
10 2017-06-21

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