BEUDAMED
    FDA Adverse Event Other Summary report: N

    STRYKER X6000 LIGHTSOURCE

    MDR report key: 522747 · Received February 9, 2004

    Report

    Report Number
    2936485-2003-00090
    Event Type
    Other
    Date Received
    February 9, 2004
    Date of Event
    November 12, 2003
    Report Date
    January 2, 2004
    Manufacturer
    STRYKER ENDOSCOPY
    Product Code
    KOG
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE LIGHT POST END OF THE FIBEROPTIC CABLE WAS LEFT ON THE STERILE DRAPE, CAUSING A BURN TO THE DRAPE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER X6000 LIGHTSOURCE LIGHTSOURCE KOG STRYKER ENDOSCOPY 0220-185-000 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 *