BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VERATHON GLIDE SCOPE LARYNGOSCOPE

    MDR report key: 10755673 · Received October 28, 2020

    Report

    Report Number
    MW5097543
    Event Type
    Injury
    Date Received
    October 28, 2020
    Date of Event
    October 27, 2020
    Report Date
    October 27, 2020
    Manufacturer
    VERATHON INC.
    Product Code
    CCW
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    HDMI CABLE MALFUNCTION OF GLIDESCOPE WITH LOSS OF SIGNAL DUE TO INSECURE PHYSICAL INTERFACE CAUSED IMAGE LOSS DURING ENDOTRACHEAL INTUBATION RESULTED IN ABORTED RAPID SEQUENCE INTUBATION AND SUSTAINED HYPOXIA IN THE 20%-30% SPO2 RANGE AS WELL AS ASPIRATION EVENT. MORBID OBESE PATIENT UNDERGOING URGENT SURGERY FOR PERFORATED APPENDICITIS WITH ABSCESS. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1214242 VERATHON GLIDE SCOPE LARYNGOSCOPE LARYNGOSCOPE, RIGID CCW VERATHON INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR Life Threatening