FDA Adverse Event Other Summary report: N

LUMINAL FIBER OPTIC LIGHT

MDR report key: 76949 · Received January 21, 1997

Report

Report Number
76949
Event Type
Other
Date Received
January 21, 1997
Date of Event
November 5, 1996
Report Date
November 12, 1996
Manufacturer
CHIU TECHNICAL CORP.
Product Code
LEK
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
GA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PT HAD A ROUND REDDENED AREA ON LEFT ANKLE AFTER USING THE TRANSILLUMINATOR TO START IV. PT WAS DISCHARGED. NO FURTHER TREATMENT NECESSARY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LUMINAL FIBER OPTIC LIGHT TRANSILLUMINATOR LEK CHIU TECHNICAL CORP. BFO-150 NA

Patients

Seq Age Sex Outcome Treatment
1 15 DAY Other