Getinge became aware of an issue with one of surgical lights - powerled ii.It was stated the hoop brake cover was missing.We decided to report the issue in abundance of caution as any parts falling off into sterile field or during procedure may cause contamination.Based on getinge technician statement, the customer ordered parts for replacement.Based on the information collected, it was established that when the event occurred, surgical light did not meet its specification due to cap which was missing silicone cap which could be considered as technical deficiency, and in this way device contributed to event.There is no indication if the device was being used for patient treatment at the time when the event occurred.When reviewing reportable events for this type of issues we were able to establish that the received incident of missing silicone cap occurs at low ratio.We have been able to confirm that the investigated issue has never led to serious injury or worse, to our knowledge.As stated by subject matter expert at manufacturer¿s, the cleaning of the device, and particularly the wiping of the device may lead to a partial dismantling of the silicone cap.A maintenance intervention may also be at the origin of an improper positioning of this cap.This partial dismantling may lead to a fall of the silicone cap during the cleaning, or during a surgical procedure.To prevent any incident, the powerled ii user manual mentions: do not use a damaged device because it may lead to a risk of injury for users r a risk of infection for patients.Check the proper position caps and cover during the daily inspections before se.We believe the related devices are performing correctly in the market.We also believe that if the manufacturer recommendation would have been followed the incident would have been avoided.Getinge shall continue to monitor for any further events of this nature and do not propose any further action at this time.
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