FDA Adverse Event
Other
Summary report: N
VAGINAL ILLUMINATION SYSTEM
MDR report key: 418018
·
Received September 19, 2002
Report
- Report Number
- 1316463-2002-00004
- Event Type
- Other
- Date Received
- September 19, 2002
- Date of Event
- September 7, 2002
- Report Date
- September 19, 2002
- Manufacturer
- WELCH ALLYN, INC.
- Product Code
- HIB
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
IN 02 VAGINAL LIGHT USED FOR ILLUMINATING VEINS FOR NEEDED FOR IV. BURNS 2ND DEGREE TO PALMS AND RIGHT FOOT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | VAGINAL ILLUMINATION SYSTEM | VAGINAL ILLUMINATION | HIB | WELCH ALLYN, INC. | 78000 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 7 MO | Other |