STRYKER-COMMUNICATIONS FLAT PANEL SPRING ARM, EDS SUSPENSION, 15-21KG; LIGHT, SURGICAL, CEILING MOUNTED
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Catalog Number 0682400034 |
Device Problem
Misassembly During Maintenance/Repair (4054)
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Patient Problem
No Patient Involvement (2645)
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Event Date 02/08/2019 |
Event Type
malfunction
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Manufacturer Narrative
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It was reported that while investigating a reported issue for a flickering flat panel monitor, the stryker field service technician (sfst) discovered that there was a gap present between the visum led flat panel spring arm and the horizontal arm of the suspension.The sfst proceeded to investigate this issue, and during his inspection, he discovered that the spring arm circlip, which is used to secure the spring arm to the horizontal arm of the suspension, was mis-seated.The sfst then proceeded to reinstall the spring arm and ensured it was secure by reinstalling the circlip.The sfst verified the circlip was installed properly by utilizing his go-no gauge.Afterwards functional testing of the spring arm was performed, and the spring arm was found to be operating to specification with no separation or gapping present.The equipment was then placed back into service and the issue was resolved.When asked if there were any competitor monitors or cabling installed on the visum led suspension, or if there was competitor integration installed in the operating room, the sfst replied that he did not recall seeing any competitor equipment in the operating room.The installation history for the surgical light system was reviewed and it was found that the unit was properly installed and passed final qc inspection on 22 december 2008.The service history for the suspension was also reviewed, and there were no service tickets found, indicating that the suspension has not been serviced by stryker personnel since installation.Finally, the manufacturing device history record for the device was reviewed, and the record showed that the flat panel spring arm was properly installed on the suspension and passed the circlip check and final qc checks on 22 sep 2008.Although the exact root cause of this issue is unknown, the most likely root cause would be improper service and maintenance by hospital personnel.There was no injury or adverse event reported.
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Event Description
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It was reported that while investigating a reported issue for a flickering flat panel monitor, the stryker field service technician (sfst) discovered that there was a gap present between the visum led flat panel spring arm and the horizontal arm of the suspension.There was no patient involvement, injury or adverse consequences reported.
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Manufacturer Narrative
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The mdr was filed on 0682400207, but the investigation identified the product as a flat panel spring arm, eds suspension, 15-21 kg, part #0682400034.The reported serial number for this device is (b)(4).
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Event Description
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It was reported that while investigating a reported issue for a flickering flat panel monitor, the stryker field service technician (sfst) discovered that there was a gap present between the visum led flat panel spring arm and the horizontal arm of the suspension.There was no patient involvement, injury or adverse consequences reported.
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