SNOWDEN-PENCER PIN 889765 WO144226

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-19 for SNOWDEN-PENCER PIN 889765 WO144226 manufactured by Carefusion 2200, Inc.

Event Text Entries

[184079527] Turned on light to test, worked, when turned off noted burning smell. Unplugged, endo was melted. Did not reach patient. New light and cord obtained, no further issues.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9853221
MDR Report Key9853221
Date Received2020-03-19
Date of Report2020-02-04
Date of Event2019-11-08
Report Date2020-02-04
Date Reported to FDA2020-02-04
Date Reported to Mfgr2020-03-19
Date Added to Maude2020-03-19
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSNOWDEN-PENCER
Generic NameLIGHT, SURGICAL, FLOOR STANDING
Product CodeFST
Date Received2020-03-19
Model NumberPIN 889765
Catalog NumberWO144226
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCAREFUSION 2200, INC
Manufacturer Address5 SUNNEN DR SAINT LOUIS MO 63143 US 63143


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-19

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