BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDICAL ILLUMINATION

    MDR report key: 420500 · Received October 7, 2002

    Report

    Report Number
    MW4003340
    Event Type
    Injury
    Date Received
    October 7, 2002
    Date of Event
    July 24, 2001
    Report Date
    September 16, 2002
    Manufacturer
    MEDICAL ILLUMINATION, INC.
    Product Code
    KZF
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    DURING BREAST AUGMENTATION SURGERY THE PT SUSTAINED BILATERAL 3RD DEGREE BURNS TO THEIR BREASTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDICAL ILLUMINATION SURGICAL LAMP KZF MEDICAL ILLUMINATION, INC. 011314-1 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention