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