FDA Adverse Event
Malfunction
Summary report: N
TROLLEY
MDR report key: 98804
·
Received June 13, 1997
Report
- Report Number
- 2018492-1997-00002
- Event Type
- Malfunction
- Date Received
- June 13, 1997
- Date of Event
- May 8, 1997
- Report Date
- May 8, 1997
- Manufacturer
- BURTON MEDICAL PRODUCTS CORP.
- Product Code
- FSY
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SD, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
THE LIGHT FELL DURING AN EXAMINATION OF A PATIENT. THE DOCTOR CAUGHT THE LIGHT. THERE WERE NO INJURIES DUE TO THE EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TROLLEY | CEILING MOUNT | FSY | BURTON MEDICAL PRODUCTS CORP. | 0100180 | 1 93 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |