Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1851-2022Class II

Leica Surgical Operating Microscopes, PROvido Part Numbers: a. 10448976, b. 10448950

Leica Microsystems, Inc. / initiated 2022-08-26 / Open, Classified / root cause: software

Leica Microsystems, Inc. began a recall of Leica Surgical Operating Microscopes, PROvido Part Numbers: a. 10448976, b. 10448950 on . FDA classified it as Class II and gives the reason as "During internal testing, Leica Microsystems has become aware of a component change on the photodiodes inside the M530 Optics Carrier which will result in an inaccurate adjustment of the illumination limits by the...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as software.

Recall record

Recall number
Z-1851-2022
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Leica Microsystems, Inc.
Product
Leica Surgical Operating Microscopes, PROvido Part Numbers: a. 10448976, b. 10448950
Product code
FSO Microscope, Surgical, General & Plastic Surgery
Reason for recall
During internal testing, Leica Microsystems has become aware of a component change on the photodiodes inside the M530 Optics Carrier which will result in an inaccurate adjustment of the illumination limits by the software of the surgical microscope when "BrightCare Plus" with Luxmeter is used.
Root cause tag
software
FDA root cause
Component change control
Action
The firm sent a Field Safety Notice to its consignees on 08/26/2022 by mail. The notice described the problem and stated that A Leica Microsystems representative will be contacting the consignee's to arrange this no-cost field update of the instrument. The field update will be scheduled to occur at your convenience within the next 6 months. The notice provided the following workaround: "Advice on action to be taken by the user: " You can continue to use the system pending this field update. Based on our analysis the probability is very remote that an unacceptable patient risk will occur due to the incorrect BrightCare Plus functionality caused by the non-conforming photodiode. " However, please ensure that all users of the affected microscope are aware of the Dangers of Use as described in section 3.4 and will follow the directions in section 5.3 ( Illumination ) and section 8 ( Operation ) of the user manual when handling a surgical operating microscope see excerpts below: o 3.4 Dangers of Use : &do not set the light intensity too high. & because if &light intensity is too high, uncontrolled tissue heating may occur. o 5.3 Illumination : &begin with a low light intensity and increase it until an optimum level of illumination is achieved. o 8 Operation : &use the lowest comfortable light intensity. The notice also requested acknowledgement of receipt of the Field Safety Notice as follows: "Please acknowledge receipt of this Field Safety Notice with the digital acknowledgment form by either scanning the QR code in your mobile phone or with the following link: https://forms.office.com/r/1WPXW93ugL."
Quantity in commerce
32 devices
Distribution
US Nationwide distribution.
Product codes and lots
a. 10448976, Serial Numbers: 120322001, 300122001, 170921001, 301221001, 40122001, 140522001, 151221002, 301021002, 81221002, 100222002, 40222002, 220821001, 300122002, 110322001, 50322001, 180921001, 260821001, 90622001, 120422001, 100522001, 90522001, 210821001, 250122001, 301021001, 100222001; b. 10448950, Serial Numbers: 160222001, 90721001, 50422001, 50422002, 91221001, 160921001, 61221001

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1851-2022
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1848-2022Class IIOngoingVoluntary: Firm initiated
Z-1849-2022Class IIOngoingVoluntary: Firm initiated
Z-1850-2022Class IIOngoingVoluntary: Firm initiated
Z-1851-2022Class IIOngoingVoluntary: Firm initiated