FDA Adverse Event Other Summary report: N

LUMIVIEW

MDR report key: 417747 · Received September 18, 2002

Report

Report Number
1316463-2002-00003
Event Type
Other
Date Received
September 18, 2002
Date of Event
August 16, 2002
Report Date
September 18, 2002
Manufacturer
WELCH ALLYN, INC.
Product Code
ERA
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

USER RECEIVED A BURN ON THE FOREHEAD BETWEEN THE EYEBROWS. CAUSE WAS ATTRIBUTED TO THE ADJUSTMENT SCREW BEING HEATED BY THE LAMP HOUSING ON THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LUMIVIEW PORTABLE BINOCULAR MICROSCOPE ERA WELCH ALLYN, INC. 20510S UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other