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.The subject laser fiber was returned to the manufacturer for testing and examination.A lumenis quality engineer examined the fiber and concluded the root cause of failure to be "wear and tear - the reported device or component failure was due to long or extended use" although the doctor was able to remove the broken fiber fragment from the patient one week later 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.
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