OPMI VARIO N/A 000000-1026-700

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2018-11-07 for OPMI VARIO N/A 000000-1026-700 manufactured by Carl Zeiss Meditec Ag (oberkochen).

Event Text Entries

[126505788] According to the manufacturer the failure of the focus function occurred due to an incorrect fitting of a third party drape to the device. The drape got tangled around the focus knob causing it to become stuck. The user manual instructs the user to ensure the proper draping of the system to allow proper movement of the microscope. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[126505789] A health care professional (hcp) reported that the focus function of the opmi vario microscope stopped working after 1 hour and 30 minutes into a surgery. The system displayed error #12, related to the zoom end position. The hcp decided to abort the procedure and rescheduled it for a later date. No adverse consequences to the patient were reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9615010-2018-00014
MDR Report Key8049027
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2018-11-07
Date of Report2018-10-08
Date of Event2018-10-08
Date Mfgr Received2018-10-08
Device Manufacturer Date2016-11-07
Date Added to Maude2018-11-07
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. VERNON BROWN
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 VARIO
Generic NameMICROSCOPE, SURGICAL, GENERAL & PLASTIC SURGERY
Product CodeFSO
Date Received2018-11-07
Model NumberN/A
Catalog Number000000-1026-700
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 OBERKOCHEN, BADEN-WUERTTEMBERG 73447 GM 73447


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-11-07

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