GYRUS ACMI, INC CW-USLTA CYBERWAND ADVANCED TRANSDUCER; LITHOTRIPTOR, ELECTRO-HYDRAULIC
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Model Number CW-USLTA |
Device Problem
Fire (1245)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 04/08/2022 |
Event Type
malfunction
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Event Description
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It was reported that when the cw-uslta was activated with the cyberwand generator, the cable caught fire and flames shot out of the end of the handpiece.Customer site facility biomed confirmed that the handpiece was not in the patient at the time of the incident, the user had the handpiece in his hand testing the handpiece.The issue occurred during an unspecified procedure.The intended procedure according to the customer completed with another device.Customer site biomed confirmed that the fire reported to have come from the transducer tip.It was not from the generator and there was no patient injury.There was no patient harm or injury reported due to the event.No user injury reported.This report is related to a report with patient identifier (b)(6) (generator).
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Manufacturer Narrative
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The subject device was not returned for evaluation.In a follow up communication with the customer, it was conveyed that the device is not returning.Customer stated they did not discarded the device but kept it in the facility.The customer stated that the device cable was burned and cannot be tested and therefore they will not return for evaluation.Supplemental report(s) will be submitted should any relevant new information is available and or received.Investigation is ongoing.This report will be supplemented accordingly following investigation.
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Manufacturer Narrative
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This report is being supplemented to provide additional information based on the legal manufacturer's final investigation.As the device did not return to olympus, a physical device inspection could not be performed.Further, the serial number provided was not in the system, a device history record review could not be performed.However, olympus only releases products to market that meet all manufacturing specifications and final product release criteria.Based on the investigation results, and since the device was not returned for evaluation, the definitive root cause of the reported issue could not be determined.The following information is stated in the instructions for use: "never attempt to service the device when it is connected to a power source.Hazardous voltages inside the device may cause severe electrical shock.Disconnect the power cord before servicing." olympus will continue to monitor field performance for this device.
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