BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SINGLE CEILING MOUNT

    MDR report key: 99802 · Received June 17, 1997

    Report

    Report Number
    2018492-1997-00004
    Event Type
    Malfunction
    Date Received
    June 17, 1997
    Date of Event
    May 15, 1997
    Report Date
    May 16, 1997
    Manufacturer
    BURTON MEDICAL PRODUCTS CORP.
    Product Code
    FSY
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE LIGHT FELL ONTO THE EXAMINATION TABLE AFTER AN EXAMINATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SINGLE CEILING MOUNT CEILING MOUNT FSY BURTON MEDICAL PRODUCTS CORP. 0100540 5 96

    Patients

    Seq Age Sex Outcome Treatment
    1 NA