BEUDAMED
    FDA Adverse Event Other Summary report: N

    BERCHTOLD CHROMOPHARE

    MDR report key: 409553 · Received August 2, 2002

    Report

    Report Number
    1220685-2002-00002
    Event Type
    Other
    Date Received
    August 2, 2002
    Date of Event
    April 24, 2002
    Manufacturer
    BERCHTOLD CORP.
    Product Code
    FSY
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING AN OPERATIVE PROCEUDRE, THE SURGEON ALIGNING THE OVERHEAD LIGHT BUMPED THE BASE OF THE CENTRAL COLUMN WITH LIGHT HOUSING. PAINT FLECKS FELL OFF THE CENTRAL COLUMN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BERCHTOLD CHROMOPHARE LIGHT. SURGICAL. DUAL HEAD FSY BERCHTOLD CORP. C570570D *

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Other