BEUDAMED
    FDA Adverse Event Other Summary report: N

    ALM

    MDR report key: 481926 · Received August 29, 2003

    Report

    Report Number
    9710053-2003-00003
    Event Type
    Other
    Date Received
    August 29, 2003
    Date of Event
    July 23, 2003
    Report Date
    August 29, 2003
    Manufacturer
    ALM
    Product Code
    FTD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    PORTABLE/MOBILE SURGICAL LIGHT FELL OVER AND REPORTEDLY HIT THE BACK OF A PERSON'S LEG THAT WAS IN THE AREA. THE STAFF INDICATED THAT THE LIGHT WAS NOT BEING MOVED WHEN THE MOBILE LIGHT TIPPED OVER. IT WAS EXPLAINED THAT THE LIGHT TIPPED OVER BY ITSELF. DETAILS OF THE EVENT OR THE EXTENT OF INJURY WERE NOT ABLE TO BE OBTAINED FROM THE USER FACILITY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALM SURGICAL LIGHT, MOBILE FTD ALM PRC5003SF-II *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other