Model Number SLIMLINE EZ 200¿ |
Device Problem
Material Fragmentation (1261)
|
Patient Problem
No Consequences Or Impact To Patient (2199)
|
Event Date 09/27/2016 |
Event Type
malfunction
|
Manufacturer Narrative
|
As part of a remedial activity, lumenis conducted a retrospective review of all its slimline 200¿ fiber complaint files from january 2015 to may 2017.An investigation of the reported event found that the reported malfunction of the slimline 200¿ fiber was similar to a device malfunction that was alleged to have caused or contributed to a potentially harmful situation.Because the company is aware that this malfunction was alleged to have caused or continued to a serious injury (reference mdr #3004135191-2017-00002), this event represents a reportable malfunction.Although the doctor was able to remove the broken fiber fragments from within the kidney and no patient harm had been reported, lumenis is also reporting this as an adverse event as medical intervention was required to preclude serious injury.Device not returned to manufacturer.
|
|
Event Description
|
A user facility reported that during a laser lithotripsy procedure, a piece of a lumenis slimline 200¿ fiber broke off inside the patient's left kidney and the broken piece was retrieved successfully.No report of related injury or patient harm was received.
|
|
Manufacturer Narrative
|
Lumenis had inadvertently reported this mdr as an adverse event and product problem lumenis concluded that no patient harm or injury had occured.The physician removed the fiber fragments from the patient and completed the procedure with another slimline 200 fiber with no reported harm.Lumenis is withdrawing the adverse event report.An investigation of the reported event found that the reported malfunction of the slimline 200¿ fiber was similar to a device malfunction that was alleged to have caused or contributed to a potentially harmful situation.Because the company is aware that this malfunction was alleged to have caused or continued to a serious injury (reference mdr #3004135191-2017-00002), this event still represents a reportable malfunction.Lumenis is correcting the event to be a product problem / malfunction only.
|
|
Search Alerts/Recalls
|