FDA Adverse Event
Malfunction
Summary report: N
LIGHT FANTASTIC II
MDR report key: 46783
·
Received September 19, 1996
Report
- Report Number
- 1017522-1996-00013
- Event Type
- Malfunction
- Date Received
- September 19, 1996
- Date of Event
- August 28, 1996
- Report Date
- September 18, 1996
- Manufacturer
- SIEMENS PELTON & CRANE
- Product Code
- EAZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE TRANSFORMER IN THE REAR ARM CASTING BEGAN TO SMOKE, AFTER A PERIOD OF TIME THE TRANSFORMER DID NOT STOP SMOKING SO HE USED A FIRE EXTINGUISHER TO STOP THE SMOKING. THE MD STATED THAT THE WIRE IN THE FRIN ARM SHORTED OUT. THE LOCAL FIRE DEPT. WAS CALLED TO THE OFFICE BUT THE DR HAD ALREADY PUT THE BURNING/SMOKING TRANSFORMER OUT. THERE IS NO MENTION OF OPEN FLAMES IN THE COMPLAINT LOG.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | LIGHT FANTASTIC II | DENTAL OPERATORY LIGHT | EAZ | SIEMENS PELTON & CRANE | LFC II | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |