BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OUTPATIENT PLUS CEILING MOUNT

    MDR report key: 449727 · Received March 24, 2003

    Report

    Report Number
    2018492-2003-00007
    Event Type
    Malfunction
    Date Received
    March 24, 2003
    Date of Event
    February 7, 2003
    Report Date
    February 24, 2003
    Manufacturer
    BURTON MEDICAL PRODUCTS CORP.
    Product Code
    FSY
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    HI, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    LIGHT REPORTED BROKE AT PIVOT, SHEARED AND FELL FLOOR WAS DAMAGED AS A RESULT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OUTPATIENT PLUS CEILING MOUNT CEILING MOUNT FSY BURTON MEDICAL PRODUCTS CORP. 0124500 995BURT

    Patients

    Seq Age Sex Outcome Treatment
    1 NA