BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SINGLE CEILING MOUNT

    MDR report key: 92361 · Received May 16, 1997

    Report

    Report Number
    2018492-1997-00001
    Event Type
    Malfunction
    Date Received
    May 16, 1997
    Date of Event
    April 18, 1997
    Report Date
    April 18, 1997
    Manufacturer
    BURTON MEDICAL PRODUCTS CORP.
    Product Code
    FSY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE DIE CAST ADAPTER SNAPPED WHILE THE PT WAS IN THE EMERGENCY RM. THE LIGHT FELL AND THERE WERE SPARKS. THE PARAMEDIC CAUGHT THE LIGHT WHICH PREVENTED THE LIGHT FROM HITTING THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SINGLE CEILING MOUNT CEIL MOUNT FSY BURTON MEDICAL PRODUCTS CORP. 0100540 BURT 2-96

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other