FDA Adverse Event
Injury
Summary report: N
LUMOS
MDR report key: 21337654
·
Received February 7, 2025
Report
- Report Number
- 3006437518-2025-00001
- Event Type
- Injury
- Date Received
- February 7, 2025
- Date of Event
- January 3, 2025
- Report Date
- February 6, 2025
- Manufacturer
- DKK DAI-ICHI SHOMEI
- Product Code
- FSY
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
ON THE (B)(6), DKK WAS INFORMED THAT THE STAFF AT THE HOSPITAL USED TWO OF THE THREE LUMOS LIGHTS AT AN INTENSITY LEVEL OF 3. POST SURGERY, THERE WAS A VISIBLE PIGMENTATION CHANGE TO THE PATIENT SKIN AROUND SURGICAL SITE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 881504 | LUMOS | SURGICAL LIGHT, CEILING MOUNTED | FSY | DKK DAI-ICHI SHOMEI | LUMOS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |