inforMED
InjuryKZF

BURTON OUTPATIENT II

Received Aug 29, 2019 · Event occurred Aug 20, 2019

Report MW5089470 · MDR key 8949825

Device

Generic name

Device, Medical Examination, Ac Powered

Model number

0224100

Product problems

  • Collapse
  • Loose or Intermittent Connection

Patient

Not reported

  • Laceration(s)
  • Laceration(s)

Narrative

Description of Event or Problem

MEDICAL ASSISTANT WAS STRUCK BY FLEXIBLE ARM ON BURTON OUTPATIENT II LIGHT. THE ADJUSTMENT KNOB CAME LOOSE AND THE ARTICULATING ARM COLLAPSED DOWNWARD ONTO EMPLOYEE'S HEAD CAUSING A LACERATION REQUIRING 9 STAPLES. FDA SAFETY REPORT ID# (B)(4).