BEUDAMED
    FDA Adverse Event Other Summary report: N

    OUTPATIENT II

    MDR report key: 660980 · Received January 5, 2006

    Report

    Report Number
    2018492-2006-00001
    Event Type
    Other
    Date Received
    January 5, 2006
    Date of Event
    December 7, 2005
    Report Date
    January 5, 2006
    Manufacturer
    BURTON MEDICAL PRODUCTS
    Product Code
    FQP
    Removal / Correction Number
    Z-589-4
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    LIGHT WAS IN USE AND BEING MOVED INTO POSITION DURING A PROCEDURE WHEN IT FELL AT PIVOT SUPPORT POINT. LIGHT FELL WHILE PT WAS ON THE TABLE. PT WAS NOT INJURED BUT MEDICAL TECHNICIAN SUFFERED MINOR SCRATCHES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OUTPATIENT II EXAMINATION LIGHT FQP BURTON MEDICAL PRODUCTS 0102540 0496 BURT

    Patients

    Seq Age Sex Outcome Treatment
    1 *