FDA Adverse Event
Malfunction
Summary report: N
AURORA
MDR report key: 20075553
·
Received August 27, 2024
Report
- Report Number
- 3006437518-2024-00013
- Event Type
- Malfunction
- Date Received
- August 27, 2024
- Date of Event
- August 15, 2024
- Report Date
- August 26, 2024
- Manufacturer
- DKK DAI-ICHI SHOMEI CO., LTD.
- Product Code
- FSY
- 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
A LIGHTHEAD HAD A FAILED WELD THAT SHEERED OFF AND HIT A CLEANING STAFF MEMBER ON THE SHOULDER. THE LIGHT HEAD ULTIMATELY CRASHED TO THE FLOOR. THE CLEANING STAFF MEMBER WAS CHECKED OUT IN THE ER AT THE HOSPITAL AND FOUND TO BE UNHURT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 952819 | AURORA | CAMERA, SURGICAL, CEILING MOUNTED | FSY | DKK DAI-ICHI SHOMEI CO., LTD. | AUT7TV |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |