MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2017-12-15 for OPMI PENTERO 000000-0480-801 manufactured by Carl Zeiss Meditec Ag (oberkochen).
[95824452]
Czmi made multiple attempts to obtain information regarding the surgery and the patient outcome. A response from hcp has not been received to date.
Patient Sequence No: 1, Text Type: N, H10
[95824453]
The health care professional (hcp) reported that during a procedure the lamp of the opmi pentero system shut off and prompted an error message of "error defective lamp, 1282/-1157". A czmi technical support engineer (tse) advised hcp to switch to the backup lamp; however, the problem returned in a minute or two. The tse then advised hcp to switch to a back up microscope, if possible. It is unknown if microscope was actually swapped out during the procedure, as well as the outcome of the patient.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9615010-2017-00018 |
| MDR Report Key | 7123844 |
| Report Source | HEALTH PROFESSIONAL,USER FACI |
| Date Received | 2017-12-15 |
| Date of Report | 2017-11-16 |
| Date of Event | 2017-11-16 |
| Date Mfgr Received | 2017-11-16 |
| Device Manufacturer Date | 2008-12-10 |
| Date Added to Maude | 2017-12-15 |
| 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 |
| Reporter Occupation | BIOMEDICAL ENGINEER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. WILLIAM GUSTAFSON |
| Manufacturer Street | 5160 HACIENDA DRIVE |
| Manufacturer City | DUBLIN CA 94568 |
| Manufacturer Country | US |
| Manufacturer Postal | 94568 |
| Manufacturer Phone | 9255574689 |
| Manufacturer G1 | CARL ZEISS MEDITEC AG (OBERKOCHEN) |
| Manufacturer Street | RUDOLF-EBER-STRASSE 11 |
| Manufacturer City | OBERKOCHEN, BADEN-WUERTTEMBERG 73447 |
| Manufacturer Country | GM |
| Manufacturer Postal Code | 73447 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | OPMI PENTERO |
| Generic Name | MICROSCOPE, SURGICAL, GENERAL & PLASTIC SURGERY |
| Product Code | FSO |
| Date Received | 2017-12-15 |
| Model Number | NA |
| Catalog Number | 000000-0480-801 |
| Lot Number | NA |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CARL ZEISS MEDITEC AG (OBERKOCHEN) |
| Manufacturer Address | RUDOLF-EBER-STRASSE 11 OBERKOCHEN, BADEN-WUERTTEMBERG 73447 GM 73447 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2017-12-15 |