BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OUTPATIENT II DOUBLE CEILING

    MDR report key: 708673 · Received May 2, 2006

    Report

    Report Number
    2018492-2006-00007
    Event Type
    Malfunction
    Date Received
    May 2, 2006
    Date of Event
    March 13, 2006
    Report Date
    April 26, 2006
    Manufacturer
    BURTON MEDICAL PRODUCTS
    Product Code
    KYT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING SURGERY, ACENT OF SOMETHING BURNING BECAME INCREASINGLY STRONGER. PHYSICIAN NOTICED ONE SIDE OF THE LIGHT HAD CAUGHT FIRE. NURSE SWITCHED OFF THE LIGHT USING THE WALL DIMMER. AS SOON AS LIGHT WAS TURNED OFF THE FIRE DISSIPATED. NO INJURIES OCCURRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OUTPATIENT II DOUBLE CEILING EXAMINATION LIGHT KYT BURTON MEDICAL PRODUCTS 0224132 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN