lITHONIA LIGHTING FROM INTEGRASEAL LENS SYAR 2SRT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-01-29 for lITHONIA LIGHTING FROM INTEGRASEAL LENS SYAR 2SRT manufactured by Lithonia Lighting/acuity Brands Lighting.

Event Text Entries

[134917497] The lens in the lithonia light fixtures suitable for use in iso 7 and iso 8 cleanrooms and surgical suites were placed in the lens frame upside down thus exposing the radio interference filter (rif) to disinfectant cleaning solutions during our scheduled monthly wall and ceiling washing. The rif immediately started to degrade and flake off upon contact with our cleaner disinfectant (oxivir tb). This resulted in a shutdown of our surgery suite until repeat terminal cleaning was done. Upon further inspection of the light lens, it was found that lens was not consistently placed in the frame by the manufacturer. Some lenses had the rif exposed outside of the light fixture while others had the rif facing inside the light fixture thus protecting it from the cleaning chemicals. This is a manufacturing flaw that is not easily detected. The lens is placed into the frame by the manufacturer and there is only one way to install the lens frame into the fixture. Product specific information: integra seal cleanroom lighting - lithonia lighting 2srt recessed clean room troffer 2x4; grid 1-1/2 inch wide tee, number of lamps 6; lamp type 32w t8 (48? ) door - fw aluminum insert white, lens syar psi symmetric/asymmetric acrylic with radio filter grid 200? Thick; ballast geb1015, internal fast blow fuse, rif radio interference filter (one per fixture).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5083539
MDR Report Key8292808
Date Received2019-01-29
Date of Report2019-01-28
Date of Event2019-01-18
Date Added to Maude2019-01-31
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 0

Brand NamelITHONIA LIGHTING FROM INTEGRASEAL
Generic NameLIGHT, SURGICAL HEADLIGHT
Product CodeEBA
Date Received2019-01-29
Model NumberLENS SYAR
Catalog Number2SRT
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No0
Device Event Key0
ManufacturerLITHONIA LIGHTING/ACUITY BRANDS LIGHTING
Manufacturer AddressCONYERS GA 30012 US 30012

Device Sequence Number: 1

Brand NameLITHONIA LIGHTING FROM INTEGRASEAL SURGERY LIGHT FIXTURE
Generic NameLIGHT, SURGICAL HEADLIGHT
Product CodeEBA
Date Received2019-01-29
Model NumberLENS SYAR
Catalog Number2SRT
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerINTEGRASEAL/ACUITY LIGHTING GROUP, INC.
Manufacturer AddressCONYERS GA 30012 US 30012

Device Sequence Number: 2

Brand NameLITHONIA LIGHTING FROM INTEGRASEAL SURGERY LIGHT FIXTURE
Generic NameLIGHT, SURGICAL HEADLIGHT
Product CodeEBA
Date Received2019-01-29
Model NumberLENS SYAR
Catalog Number2SRT
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerINTEGRASEAL/ACUITY LIGHTING GROUP, INC.
Manufacturer AddressCONYERS GA 30012 US 30012


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-01-29

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