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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: INTEGRA LIFESCIENCES (IRELAND) LTD. DUO HEADLIGHT 2 BAY SYSTEM - US; PFM05

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INTEGRA LIFESCIENCES (IRELAND) LTD. DUO HEADLIGHT 2 BAY SYSTEM - US; PFM05 Back to Search Results
Catalog Number 90620US
Device Problem Overheating of Device (1437)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Type  malfunction  
Event Description
It was reported that the led housing of the duo headlight 2 bay system - us ((b)(6)) has pulled apart and had become an infection risk.In addition, the rubber grommet for electrical cord is dry rotted, the battery holder was missing a couple of slim nuts so the power connector on the battery pack cuts power and overheats.It is unknown under what circumstance this event was discovered.No patient injury or surgical delay has been reported.
 
Manufacturer Narrative
The duo headlight 2 bay system - us ((b)(6)) was returned for evaluation: failure analysis: the duo headlight was received in used condition.Evaluation of the duo headlight found that the headlight luminaire was cracked.Thus, the unit will be sent out to the manufacturer for the luminaire repair.Root cause analysis: the reported complaint is confirmed.Evaluation identified that the headlight luminaire was cracked and required repair.This is most likely due to rough handling/environmental damage.No manufacturing, workmanship, or material deficiency has been identified.
 
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Brand Name
DUO HEADLIGHT 2 BAY SYSTEM - US
Type of Device
PFM05
Manufacturer (Section D)
INTEGRA LIFESCIENCES (IRELAND) LTD.
sragh tullamore, co. offaly
EI 
Manufacturer (Section G)
INTEGRA LIFESCIENCES (IRELAND) LTD.
sragh tullamore, co. offaly
EI  
Manufacturer Contact
vivian nelson
1100 campus drive
princeton, NJ 
6099362319
MDR Report Key18715832
MDR Text Key336533035
Report Number3006697299-2024-00018
Device Sequence Number1
Product Code FSR
Combination Product (y/n)N
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type User Facility,Company Representative
Reporter Occupation Other
Type of Report Initial
Report Date 02/15/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number90620US
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/11/2024
Initial Date Manufacturer Received 01/24/2024
Initial Date FDA Received02/15/2024
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
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