BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SINGLE CEILING OUTPATIENT PLUS LIGHT

    MDR report key: 61149 · Received December 27, 1996

    Report

    Report Number
    2018492-1996-00014
    Event Type
    Malfunction
    Date Received
    December 27, 1996
    Date of Event
    November 12, 1996
    Report Date
    December 4, 1996
    Manufacturer
    BURTON MEDICAL PROD.
    Product Code
    FSY
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE LIGHT FELL DURING USE DUE TO COMPONENT FAILURE. THERE WERE NO INJURIES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SINGLE CEILING OUTPATIENT PLUS LIGHT SINGLE CEILING MOUNT EXAM LIGHT FSY BURTON MEDICAL PROD. 0100540, 0124500 1293, 1093

    Patients

    Seq Age Sex Outcome Treatment
    1 NA