FDA Adverse Event
Malfunction
Summary report: N
AURORA 4
MDR report key: 19198075
·
Received April 26, 2024
Report
- Report Number
- 3006437518-2024-00010
- Event Type
- Malfunction
- Date Received
- April 26, 2024
- Date of Event
- March 25, 2024
- Report Date
- April 26, 2024
- Manufacturer
- DKK DAI-ICHI SHOMEI CO., LTD.
- Product Code
- KQM
- PMA / PMN Number
- K071698
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT AN AUA7 LIGHT IN OPERATION ROOM 5 FELL OFF THE BOM AND CRASHED ON THE FLOOR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 982447 | AURORA 4 | CAMERA, SURGICAL AND ACCESSORIES, PRODUCT CODE: KQM, PRODUCT CODE: KQM | KQM | DKK DAI-ICHI SHOMEI CO., LTD. | AUA7 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |