MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-08-16 for LED HEADLIGHT W/BATTERIES & AC/DC POWER SUPPLY - US 90520US manufactured by Integra York, Pa Inc..
[117570406]
The device was not yet returned to the manufacturer for analysis. The plant investigation is in progress and a supplemental medwatch report will be submitted upon completion of the investigation.
Patient Sequence No: 1, Text Type: N, H10
[117570407]
A customer reported that on (b)(6) 2018, a 90520us led headlight when the fan kicks on the light goes dim and the fan makes a lot of noise. The headlight gets overheated. It is unknown if there was any patient contact, injury and delay in surgery. Additional information has been requested. No other clinical information received.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2523190-2018-00103 |
| MDR Report Key | 7790718 |
| Date Received | 2018-08-16 |
| Date of Report | 2018-08-08 |
| Date of Event | 2018-08-08 |
| Date Mfgr Received | 2018-10-18 |
| Device Manufacturer Date | 2016-03-21 |
| Date Added to Maude | 2018-08-16 |
| 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 | USER KIMBERLY SHELLY |
| Manufacturer Street | 311 ENTERPRISE DRIVE |
| Manufacturer City | PLAINSBORO NJ 08536 |
| Manufacturer Country | US |
| Manufacturer Postal | 08536 |
| Manufacturer Phone | 6099362393 |
| Manufacturer G1 | INTEGRA YORK, PA INC. |
| Manufacturer Street | 589 DAVIES DRIVE |
| Manufacturer City | YORK PA 17402 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 17402 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | LED HEADLIGHT W/BATTERIES & AC/DC POWER SUPPLY - US |
| Generic Name | LIGHTING |
| Product Code | FSR |
| Date Received | 2018-08-16 |
| Returned To Mfg | 2018-09-21 |
| Catalog Number | 90520US |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | R |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | INTEGRA YORK, PA INC. |
| Manufacturer Address | 589 DAVIES DRIVE 589 DAVIES DRIVE YORK PA 17402 US 17402 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-08-16 |