BEUDAMED
    FDA Adverse Event Other Summary report: N

    OUTPATIENT SINGLE CEILING

    MDR report key: 288190 · Received July 31, 2000

    Report

    Report Number
    2018492-2000-00001
    Event Type
    Other
    Date Received
    July 31, 2000
    Date of Event
    June 22, 2000
    Report Date
    July 29, 2000
    Manufacturer
    BURTON MEDICAL PRODUCTS CORP.
    Product Code
    FSY
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    WHILE DR WAS PERFORMING A PROCEDURE ON A PT THE LIGHT FELL ONTO THE DR'S BACK. THE PIVOT SUPPORT HAD GIVEN WAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OUTPATIENT SINGLE CEILING EXAM LIGHT FSY BURTON MEDICAL PRODUCTS CORP. 0124500 795

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other