FDA Adverse Event
Malfunction
Summary report: N
SKYTRON
MDR report key: 7734571
·
Received July 31, 2018
Report
- Report Number
- 3006437518-2018-00001
- Event Type
- Malfunction
- Date Received
- July 31, 2018
- Date of Event
- October 30, 2017
- Report Date
- May 29, 2020
- Manufacturer
- DAI-ICHI SHOMEI CO., LTD
- Product Code
- FSY
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
ON (B)(6) 2017, DAI-ICHI SHOMEI RECEIVED INFORMATION THAT ON THE ROTATING PART, PAINT WAS PEELED OFF AND HAD SOME BUBBLES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 579540 | SKYTRON | AURORA SERIES SURGICAL LIGHTS | FSY | DAI-ICHI SHOMEI CO., LTD | AUT75 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Other |