MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-06-28 for ILED 5K / VIDIAPORT SINGLE 4028110 manufactured by Trumpf Medizin Systeme Gmbh + Co. Kg.
[112846605]
It is known that improper installation, maintenance or a collision can lead to the spring arm joint cover falling. The device is still being investigated by an olympus (b)(4) technician. A follow-up report will be submitted if new pertinent information is obtained.
Patient Sequence No: 1, Text Type: N, H10
[112846606]
During an unspecified procedure, the plastic strip of a iled 5k's ac3000 arm joint cover fell near the sterile field. No patient injury reported.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 9681407-2018-00030 |
MDR Report Key | 7645301 |
Date Received | 2018-06-28 |
Date of Report | 2018-05-29 |
Date of Event | 2018-05-29 |
Date Mfgr Received | 2018-05-29 |
Device Manufacturer Date | 2009-07-23 |
Date Added to Maude | 2018-06-28 |
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. STEFFEN ULBRICH |
Manufacturer Street | CARL-ZEISS STRASSE 7-9 |
Manufacturer City | SAALFELD, 07318 |
Manufacturer Country | GM |
Manufacturer Postal | 07318 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 0 |
Brand Name | ILED 5K / VIDIAPORT SINGLE |
Generic Name | ILED 5K |
Product Code | FQP |
Date Received | 2018-06-28 |
Model Number | 4028110 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Eval'ed by Mfgr | N |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | TRUMPF MEDIZIN SYSTEME GMBH + CO. KG |
Manufacturer Address | CARL-ZEISS STRASSE 7-9 SAALFELD, 07318 GM 07318 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2018-06-28 |