MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1999-10-29 for BURTON 11302 * manufactured by Burton.
[136281]
Nurse moved overhead light so that pt could be assisted out of bed. Light fell from ceiling and fell on pt's head. Light remained attached to electrical cord. Catscan of the brain was negative.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 247608 |
| MDR Report Key | 247608 |
| Date Received | 1999-10-29 |
| Date of Report | 1999-10-04 |
| Date of Event | 1999-09-22 |
| Date Facility Aware | 1999-09-22 |
| Report Date | 1999-10-04 |
| Date Reported to Mfgr | 1999-10-27 |
| Date Added to Maude | 1999-11-03 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | BURTON |
| Generic Name | LIGHT FIXTURE REFLECTOR |
| Product Code | FCQ |
| Date Received | 1999-10-29 |
| Model Number | 11302 |
| Catalog Number | * |
| Lot Number | 799 BURT |
| ID Number | 115V 60HZ |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | 1 YR |
| Implant Flag | N |
| Date Removed | A |
| Device Sequence No | 1 |
| Device Event Key | 239882 |
| Manufacturer | BURTON |
| Manufacturer Address | 21100 LASSEN ST CHATSWORTH CA 91311 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 1999-10-29 |