BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CENTURION EXCEL

    MDR report key: 661835 · Received September 15, 2005

    Report

    Report Number
    2028295-2005-00002
    Event Type
    Malfunction
    Date Received
    September 15, 2005
    Date of Event
    June 14, 2005
    Report Date
    September 15, 2005
    Manufacturer
    MEDICAL ILLUMINATION INTERNATIONAL, INC.
    Product Code
    FSY
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING A ROUTINE ANIMAL SURGERY A LIGHT FELL ON A DR AND A DOG NOT CAUSING ANY INJURY WHAT SO EVER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CENTURION EXCEL SURGICAL LIGHT FSY MEDICAL ILLUMINATION INTERNATIONAL, INC. 051514 *

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Other