OPMI CS N/A 302503-0000-000

MAUDE Adverse Event Report

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 2018-09-06 for OPMI CS N/A 302503-0000-000 manufactured by Carl Zeiss Meditec Ag (oberkochen).

Event Text Entries

[119488891] During inspection of the device the customer informed a czmi field service engineer that during the case, the light intensity of the microscope was set at near maximum. The user manual describes that a long duration of treatment especially in combination with high light intensity can lead to skin burn.
Patient Sequence No: 1, Text Type: N, H10


[119488892] A health care professional (hcp) reported that a patient sustained a burn after undergoing a 90-120 minutes of left post-auricular underlay tympanoplasty procedure with the opmi cs surgical microscope. The burn was described as second degree and involved most of the pinna. The hcp used silver sulfadiazine at end of the surgery to treat the patient and wrapped the ear in glasscock dressing. It was further reported that the patient had been subsequently evaluated and treated by a burn clinic.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9615010-2018-00012
MDR Report Key7853578
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2018-09-06
Date of Report2018-08-08
Date of Event2018-08-06
Date Mfgr Received2018-08-08
Date Added to Maude2018-09-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. WILLIAM GUSTAFSON
Manufacturer Street5160 HACIENDA DRIVE
Manufacturer CityDUBLIN CA 94568
Manufacturer CountryUS
Manufacturer Postal94568
Manufacturer Phone9255574689
Manufacturer G1CARL ZEISS MEDITEC AG (OBERKOCHEN)
Manufacturer StreetRUDOLF-EBER-STRASSE 11
Manufacturer CityOBERKOCHEN, BADEN-WUERTTEMBERG 73447
Manufacturer CountryGM
Manufacturer Postal Code73447
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameOPMI CS
Generic NameMICROSCOPE, SURGICAL
Product CodeEPT
Date Received2018-09-06
Model NumberN/A
Catalog Number302503-0000-000
Lot NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCARL ZEISS MEDITEC AG (OBERKOCHEN)
Manufacturer AddressRUDOLF-EBER-STRASSE 11 MICHAEL.SCHMIDT@ZEISS.COM OBERKOCHEN, BADEN-WUERTTEMBERG 73447 GM 73447


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2018-09-06

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