BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OUT PATIENT PLUS LIGHT

    MDR report key: 16679 · Received October 7, 1994

    Report

    Report Number
    MW1003624
    Event Type
    Malfunction
    Date Received
    October 7, 1994
    Date of Event
    September 15, 1994
    Report Date
    September 18, 1994
    Manufacturer
    BURTON MEDICAL PRODUCTS CORP.
    Product Code
    FTD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    TOP COVER OF LIGHT FELL ON PT'S CHEST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OUT PATIENT PLUS LIGHT OUT PATIENT PLUS LIGHT FTD BURTON MEDICAL PRODUCTS CORP. 11410

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Other