BEUDAMED
    FDA Adverse Event Other Summary report: N

    COOLSPOT SINGLE CEILING

    MDR report key: 1649719 · Received March 30, 2010

    Report

    Report Number
    MW5015355
    Event Type
    Other
    Date Received
    March 30, 2010
    Date of Event
    March 5, 2010
    Report Date
    March 19, 2010
    Manufacturer
    BURTON MEDICAL PRODUCTS
    Product Code
    FCQ
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE LIGHT FELL FROM IT'S CEILING MOUNT AS IT WAS BEING MOVED WHILE IN USE WITH A PT. THE NURSE IN ATTENDANCE PUSHED THE PT OUT OF THE PATH OF THE FALLING LIGHT. IN DOING SO, HE WAS STRUCK IN THE HEAD BY THE LIGHT. THE IMPACT WAS SUFFICIENT TO BREAK THE SKIN, HOWEVER, NO TREATMENT (SUCH AS STITCHES) WAS REQUIRED. THE NURSE EXPRESSED NO FURTHER COMPLAINTS SUBSEQUENT TO THE EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COOLSPOT SINGLE CEILING LUMINARY FCQ BURTON MEDICAL PRODUCTS CS316SC NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK