BEUDAMED
    FDA Adverse Event Injury Summary report: N

    X6000 XENON LIGHTSOURCE

    MDR report key: 406668 · Received July 1, 2002

    Report

    Report Number
    2936485-2002-00072
    Event Type
    Injury
    Date Received
    July 1, 2002
    Date of Event
    June 21, 2002
    Report Date
    July 1, 2002
    Manufacturer
    STRYKER ENDOSCOPY
    Product Code
    GCT
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT DURING A CASE, THE LIGHTSOURCE WAS HOOKED UP TO A SCOPE AND THE SCOPE BURNED THE PT'S NOSTRIL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 X6000 XENON LIGHTSOURCE LIGHT SOURCE GCT STRYKER ENDOSCOPY 0220-185-000 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other