BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDICAL ILLUMINATION INT'L, INC.

    MDR report key: 347056 · Received August 2, 2001

    Report

    Report Number
    2028295-2001-00002
    Event Type
    Injury
    Date Received
    August 2, 2001
    Date of Event
    June 5, 2001
    Report Date
    July 13, 2001
    Manufacturer
    MEDICAL ILLUMINATION INC.
    Product Code
    KZF
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THE DOG WAS PREPPED FOR SURGERY WHEN THE LIGHT WAS TURNED ON. THE BULB BURNED OUT WHEN IT WAS TURNED ON AND DR WENT TO REPLACE THE BULB, INSTEAD OF REMOVING THE HANDLE BASE SCREWS TO GAIN ACCESS TO THE BULB, DR REMOVED THE SPRINGS THAT HOLDS THE FILTER IN PLACE. THEY THEN HAD DIFFICULTY RE-ASSMEBLING THE LIGHT, AND SINCE THE DOG WAS ANESTHETIZED, DECIDED TO LEAVE THE FILTER OFF AND PROCEED WITH THE SURGERY. THE DOG RECEIVED A THERMAL BURN MEASURING APPROXIMATELY 6"X9". THE DOG HAS BEEN TREATED FOR THE BURN BY CHANGING THE DRESSING DAILY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    35013 MEDICAL ILLUMINATION INT'L, INC. LIGHT, MEDICAL EXAMINATION KZF MEDICAL ILLUMINATION INC. 011314-6 *

    Patients

    Seq Age Sex Outcome Treatment
    1 10 YR