BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OUTPATIENT PLUS CEILING MOUNT

    MDR report key: 449721 · Received March 24, 2003

    Report

    Report Number
    2018492-2003-00006
    Event Type
    Malfunction
    Date Received
    March 24, 2003
    Date of Event
    February 5, 2003
    Report Date
    February 24, 2003
    Manufacturer
    BURTON MEDICAL PRODUCTS CORP.
    Product Code
    FSY
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    LIGHT FELL. LIGHT REPORTED BROKE AT PIVOT, SHEARED AND FELL. NURSE ASSISTANT WAS PRESENT IN ROOM WHEN THIS HAPPENED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OUTPATIENT PLUS CEILING MOUNT CEILING MOUNT FSY BURTON MEDICAL PRODUCTS CORP. 124500 *

    Patients

    Seq Age Sex Outcome Treatment
    1 NA