MAUDE MDR 906456

MDR report key
906456
Report number
2431026-2007-00012
Event key
0
Event type
3
Date of event
2007-07-08
Date received
2007-08-29
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
KENT JONES
Address
22 CARL ZEISS STRASSE OBERKOCHEN D-734 GM
Phone
925-925-9255
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1OPMI 9 FCSURGICAL MICROSCOPECARL ZEISS SURGICAL GMBH,EPTNYY

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12007-08-2901. O

Event Narratives#

D

Patient 1

USER FACILITY REPORTS THAT THE OPMI 9 FC MICROSCOPE DETACHED FROM THE ARTICULATED ARM AND FELL ONTO THE PHYSICIAN'S ARM AND ONTO PT. NO INJURY WAS REPORTED.

N

Patient 1

A FACTORY TRAINED SERVICE REPRESENTATIVE CONDUCTED A SITE VISIT AND FOUND THAT THE SAFETY SCREW WAS LOOSE. THE REPRESENTATIVE REPLACED A CAP WITH INTEGRATED SAFETY SCREW, THEN SECURED BOTH THE CAP AND THE SAFETY SCREW. THE REP VERIFIED OPTICAL AND MECHANICAL FUNCTIONS, THEN REVIEWED FUNCTIONS WITH DR. NO SERVICE HAD PREVIOUSLY BEEN PERFORMED BY ZEISS PERSONNEL ON THIS MICROSCOPE. IT IS BELIEVED THAT THE CAUSE OF THE REPORTED EVENT WAS A LOOSE SECURING SCREW. THE MICROSCOPE SYSTEM'S USER'S MANUAL CONTAINS A CAUTION TO USERS TO VERIFY BEFORE EACH SURGERY THAT THE SECURING SCREW HAS BEEN FIRMLY TIGHTENED.