SURGILUX H/L VAR.10-75MM SPOT 8' XLG 528341

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-04-18 for SURGILUX H/L VAR.10-75MM SPOT 8' XLG 528341 manufactured by Teleflex Medical.

Event Text Entries

[142871505] (b)(4). The device has not been returned for investigation. Teleflex will continue to monitor and trend related events.
Patient Sequence No: 1, Text Type: N, H10


[142871506] It was reported that during a procedure one of the headlamps got so hot it melted and started smoking. The doctor had to rip it off to keep from getting burned. It melted. We are trying to figure out if the headlamp is compatible with the other devices or visa versa.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3011137372-2019-00106
MDR Report Key8526938
Date Received2019-04-18
Date of Report2019-03-29
Date of Event2019-03-29
Date Mfgr Received2019-06-25
Date Added to Maude2019-04-18
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactJASMINE BROWN
Manufacturer Street3015 CARRINGTON MILL BLVD
Manufacturer CityMORRISVILLE NC 27560
Manufacturer CountryUS
Manufacturer Postal27560
Manufacturer Phone9193614124
Manufacturer G1TELEFLEX MEDICAL
Manufacturer Street3015 CARRINGTON MILL BLVD
Manufacturer CityMORRISVILLE NC 27560
Manufacturer CountryUS
Manufacturer Postal Code27560
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSURGILUX H/L VAR.10-75MM SPOT 8' XLG
Product CodeEBA
Date Received2019-04-18
Catalog Number528341
Lot NumberMODEL 5283
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerTELEFLEX MEDICAL
Manufacturer AddressRESEARCH TRIANGLE PARK NC


Patients

Patient NumberTreatmentOutcomeDate
10 2019-04-18

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