BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BURTON

    MDR report key: 247608 · Received October 29, 1999

    Report

    Report Number
    247608
    Event Type
    Malfunction
    Date Received
    October 29, 1999
    Date of Event
    September 22, 1999
    Report Date
    October 4, 1999
    Manufacturer
    BURTON
    Product Code
    FCQ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NURSE MOVED OVERHEAD LIGHT SO THAT PT COULD BE ASSISTED OUT OF BED. LIGHT FELL FROM CEILING AND FELL ON PT'S HEAD. LIGHT REMAINED ATTACHED TO ELECTRICAL CORD. CATSCAN OF THE BRAIN WAS NEGATIVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BURTON LIGHT FIXTURE REFLECTOR FCQ BURTON 11302 799 BURT

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Other