BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DUKANE DUAL PATIENT STATION

    MDR report key: 1901001 · Received November 12, 2010

    Report

    Report Number
    MW5018203
    Event Type
    Injury
    Date Received
    November 12, 2010
    Date of Event
    August 24, 2010
    Report Date
    November 1, 2010
    Manufacturer
    CURBELL FOR ALLEN TECHNOLOGIES, ALLEN TECHNOLOGIES, INC.
    Product Code
    ILQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NURSE CALL WALL STATION AND PILLOW SPEAKER PLUG OVERHEATED RESULTING IN MELTED PLASTIC COMPONENTS AND STRONG ODOR OF BURNT ELECTRONICS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DUKANE DUAL PATIENT STATION NURSE CALL WALL STATION AND PILLOW SPEAKER ILQ CURBELL FOR ALLEN TECHNOLOGIES, ALLEN TECHNOLOGIES, INC. 4A2386

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Required Intervention